CROSS-REFERENCE TO RELATED APPLICATIONS
FIELD OF THE INVENTION
[0002] The invention is in the field of vaccines, particularly vaccines comprising virus-like
particles with a composite amino acid sequence derived from a consensus sequence representing
two or more capsid proteins from non-enveloped viruses. In addition, the invention
relates to methods of preparing vaccine compositions and methods of inducing a protective
immune response using the vaccine compositions of the invention.
BACKGROUND OF THE INVENTION
[0003] The prevalent approach to preparing vaccines for viruses with seasonal or year-to-year
patterns is modeled by commercial Influenza vaccines which require the anticipation,
publication, and subsequent synthesis of a new vaccine when the virus evolves to present
a different antigenic profile. This approach causes significant timeline delays and
cost as new antigens are synthesized in anticipation of the next years viral strain.
Further, as evidenced by the failings of the 2008 influenza vaccine, errors in the
predicted strain can result in significant disease related costs as patients are under-protected.
Thus, improved methods for designing and preparing vaccines to protect against multiple
circulating strains of disease-causing virus is desirable.
[0004] Noroviruses are non-cultivatable human Caliciviruses that have emerged as the single
most important cause of epidemic outbreaks of nonbacterial gastroenteritis (
Glass et al. (2000) J Infect Dis, Vol. 181 (Sup 2): S254-S261;
Hardy et al. (1999) Clin Lab Mcd, Vol. 19(3): 675-90). These viruses have been grouped into five different genogroups of which genogroups
I and II are further subdivided into greater than 25 genotypes and are the agents
for the vast majority of illness in humans attributed to this virus. There are significant
challenges to the development of vaccines against Norovirus, including the inability
to propagate the virus in culture and suitable animal models of acute gastroenteritis.
Standard virologic techniques including viral attenuation or
in vitro neutralization assays are therefore not possible today.
[0005] Noroviruses contain a 7.5 Kb single strand positive sense RNA genome that contains
three open reading frames. The major viral capsid protein (VP1) is encoded by ORF2
and expression of this protein results in the spontaneous assembly of virus-like particles
(VLPs), which mimic the structure of the virus but are incapable of replication. This
structure is composed of 180 monomeric subunits of VP1 and are candidate vaccines
to prevent acute gastroenteritis. The VP1 monomer has two domains: a shell (S) domain
that forms the inner viral core and a prominent protruding (P) domain linked by a
flexible hinge. The P domain is further subdivided into two subdomains P1 and P2,
which is the most surface exposed region and is thought to contain important cell
recognition and antigenic sites. Homology analysis indicates that the majority of
the hypervariable amino acid regions of VP1 are located in the P2 domain (
Allen et al. (2008) PLoS One, Vol. 1: 1-9).
[0006] Recent epidemiology studies have lead to the hypothesis that Norovirus evolution
is epochal with periods of stasis followed by emergence of novel epidemic strains,
similar to that observed for Influenza virus. Most recent outbreaks appear to be related
to emergence of variant virus in the GII.4 genotype at a persistence interval of around
two years. There is a need in the art for a vaccine candidate that provides antigenic
epitopes that would be cross protective for multiple Norovirus, or other non-enveloped
virus strains, which would obviate the need for construction of vaccines for each
contemporary outbreak strain.
SUMMARY OF THE INVENTION
[0007] The present invention is based, in part, on the discovery that a polypeptide comprising
a composite capsid sequence, which combines epitopes from a number of circulating
viral strains, can be used to produce a more robust immunological response to multiple
viral strains. Such a polypeptide can be used to prepare vaccine formulations that
are protective against several circulating strains of the virus, and therefore improve
strain-to-strain and year-to-year protection.
[0008] The present invention provides at least one polypeptide having a composite amino
acid sequence, wherein said composite amino acid sequence is derived from a consensus
sequence representing the capsid proteins of two or more circulating strains of a
non-enveloped virus, and wherein the at least one polypeptide forms a virus-like particle
when expressed in a host cell and contains at least 1 different amino acid as compared
to each of the capsid sequences of said two or more circulating strains. In one embodiment,
the virus-like particle comprising the at least one composite polypeptide has antigenic
properties of the two or more circulating strains of the non-enveloped virus. In another
embodiment, the composite polypeptide or composite virus-like particle provides an
increase in antisera cross-reactivity to one or more circulating strains of the non-enveloped
virus as compared to the antisera cross-reactivity obtained by immunizing with a virus-like
particle containing only protein from said one or more circulating strains.
[0009] The virus-like particle may comprise at least one polypeptide having a composite
amino acid sequence derived from a consensus sequence representing capsid proteins
of two or more circulating strains of a non-enveloped virus, wherein the non-enveloped
virus is selected from the group consisting of Calicivirus, Picornavirus, Astrovirus,
Adenovirus, Reovirus, Polyomavirus, Papillomavirus, Parvovirus, and Hepatitis E virus.
In one embodiment, the non-enveloped virus is a Calicivirus. In another embodiment,
the Calicivirus is a Norovirus or Sapovirus. The Norovirus may be a genogroup I or
genogroup II Norovirus.
[0010] The consensus sequence may be derived from two or more Norovirus strains classified
in the same genogroup and genotype. In one embodiment, the consensus sequence is derived
from genogroup II, genotype 4 Norovirus strains, such as Houston, Minerva, and Laurens
strains. In another embodiment, the consensus sequence is derived from Norovirus strains
from at least two different genotypes within a genogroup. In still another embodiment,
the consensus sequence is derived from Norovirus strains from at least two different
genogroups.
[0011] The present invention also encompasses a virus-like particle comprising at least
one composite polypeptide derived from two or more circulating Calicivirus strains
and a capsid protein from a second non-enveloped virus, such as Norovirus. The capsid
protein may be a VP1 and/or VP2 protein from a genogroup I or genogroup II Norovirus.
In another embodiment, the virus-like particle comprises at least one composite polypeptide
derived from two or more circulating strains of a Calicivirus and a second composite
polypeptide derived from two or more circulating strains of a second Calicivirus.
Preferably, the virus-like particle has antigenic properties of the two or more circulating
strains of the first Calicivirus and the two or more circulating strains of the second
Calicivirus.
[0012] The present invention also provides an isolated polypeptide or fragment thereof having
a composite amino acid sequence, wherein said composite amino acid sequence is derived
from a consensus sequence representing the capsid proteins of two or more circulating
strains of a non-enveloped virus, and wherein the polypeptide contains at least 1
different amino acid as compared to each of the capsid sequences of said two or more
circulating strains. The non-enveloped virus may be a Calicivirus, such as a Sapovirus
or Norovirus. Alternatively, the non-enveloped virus may be a Papillomavirus.
[0013] The present invention contemplates vaccine formulations comprising one or more composite
polypeptides or composite virus-like particles of the invention. Each of the composite
virus-like particles comprises at least one polypeptide having a composite amino acid
sequence derived from a consensus sequence representing the capsid proteins from two
or more circulating strains of a non-enveloped virus. The non-enveloped virus may
be a genogroup I or genogroup II Norovirus. In some embodiments, the vaccine formulation
further comprises an adjuvant. In other embodiments, the vaccine formulation further
comprises a delivery agent. In still other embodiments, the vaccine formulation further
comprises a pharmaceutically acceptable carrier. The vaccine formulation may be a
liquid formulation or a dry powder formulation.
[0014] The invention also provides a method of inducing a protective immunity to a viral
infection in a subject comprising administering to the subject a vaccine formulation
disclosed herein. In one embodiment, the viral infection is a Norovirus infection.
In another embodiment, the vaccine formulation confers protection from one or more
symptoms of Norovirus infection.
[0015] The present invention also contemplates a method of making a composite virus-like
particle. In one embodiment, the method comprises aligning amino acid sequences of
capsid proteins from two or more circulating strains of a non-enveloped virus; determining
a consensus sequence from said aligned amino acid sequences; preparing a composite
sequence based on said consensus sequence that contains at least 1 different amino
acid as compared to each of the capsid sequences of said two or more circulating strains;
and expressing said composite sequence in a host cell, thereby producing a virus-like
particle. The non-enveloped virus may be a Calicivirus, Picornavirus, Astrovirus,
Adenovirus, Reovirus, Polyomavirus, Papillomavirus, Parvovirus, and Hepatitis E virus.
BRIEF DESCRIPTION OF THE FIGURES
[0016]
Figure 1. Amino acid consensus sequence of VP1 proteins from genogroup II, genotype 4 Norovirus
(SEQ ID NO: 2). The consensus sequence was determined from an alignment of Houston,
Minerva, and Laurens strains.
Figure 2. Nucleotide sequence encoding the composite VP1 protein from genogroup II, genotype
4 Norovirus (SEQ ID NO: 3).
Figure 3. SDS-PAGE/Coomassie analysis of sucrose gradient purified composite VLPs.
Figure 4. HPLC SEC chromatogram of readings at 220 nm (top) and 280 nm (bottom) of composite
expression cell culture supernatant purified by sucrose gradient.
Figure 5. SDS-PAGE/Silver-stain analysis of composite sequence VLPs purified by column chromatography.
Figure 6. HPLC SEC chromatogram of readings at 280 nm of composite VLPs.
Figure 7. Immunization with composite VLP (CVLP) elicits antigen-specific IgG. Groups of 7
mice were immunized (i.p.) with various concentrations of CVLP (indicated on the X
axis) on days 0 and 7. Serum was collected on day 14 and CVLP-specific IgG was measured
by ELISA. Horizontal lines indicate geometric means of each treatment group.
Figure 8. Immunization with composite VLP/Norwalk VLP (CVLP/NVLP) combination elicits NVLP-specific
IgG. Groups of 7 mice were immunized (i.p.) with various concentrations of NVLP alone
(purple bars) or in combination with equal amounts of CVLP (black bars) on days 0
and 14. Serum was collected on day 21 and NVLP-specific IgG was measured by ELISA.
Data is reported as the mean + standard error of the mean (SEM).
Figure 9. Immunization with composite VLP/Norwalk VLP (CVLP/NVLP) combination elicits CVLP-specific
IgG. Groups of 7 mice were immunized (i.p.) with various concentrations of either
composite VLP alone (green bars) or in combination with equal amounts of NVLP (black
bars) on days 0 and 14. Serum was collected on day 21 and CVLP-specific IgG was measured
by ELISA. Data is reported as the mean + standard error of the mean (SEM).
Figure 10. CVLP-specific IgG cross-reacts with other Norovirus isolates. Antibody titers measured
21 days after a single immunization with the either Composite VLPs or GII.4 2002 VLPs
show that Composite VLPs elicit ∼ 10 fold higher titers as compared to the GII.4 2002
VLPs. Antibody titers for animals immunized with all GII.4 VLPs show poor cross reactivity
to GI.1 VLPs. Data are expressed as geometric mean + standard error of the mean (SEM).
Figure 11. Rabbits were immunized IM on day 0 and 21 with equal amounts of Norwalk VLP (NVLP)
and composite VLP (CVLP). Serum was collected on day 28 and VLP-specific IgG was evaluated.
The resulting data was log transformed and evaluated by linear regression analysis.
IgG titers are expressed as reciprocal dilutions and shown as geometric mean titers.
Figure 12. Rabbits were immunized IM on day 0 and 21 with equal amounts of Norwalk VLP (NVLP)
and composite VLP (CVLP). Spleens were collected on day 75 and unfractionated cells
were stimulated in culture for 5 days with either NVLP or CVLP and the amount of thymidine
incorporation was measured. The mean and SD are shown for each rabbit in the treatment
groups indicated on the X axis. Data are expressed as mean + SD.
Figure 13. Rabbits were immunized IM on day 0 and 21 with equal amounts of Norwalk VLP (NVLP)
and composite VLP (CVLP). Spleens and mesenteric lymph nodes (LN) were collected on
day 75 and analyzed for the presence of VLP-specific memory β-cells by ELISPOT. Individual
responses are shown for NVLP and CVLP. Data are represented as the number of VLP-specific
IgG secreting cells per million cells present.
Figure 14. Rabbits were immunized IM on days 0, 14, and 21 with equal amounts of Norwalk VLP
(NVLP) and composite VLP (CVLP) as indicated in the legend. Serum was collected on
day 21 and 35 and NVLP-specific IgG and IgA was measured by ELISA. Results are displayed
as geometric group means + SEM.
Figure 15. Rabbits were immunized IM on days 0, 14, and 21 with equal amounts of Norwalk VLP
(NVLP) and composite VLP (CVLP) as indicated in the legend. Serum was collected on
day 21 and 35 and CVLP-specific IgG and IgA was measured by ELISA. Results are displayed
as geometric group means + SEM.
Figure 16. Rabbits were immunized IM on days 0, 14, and 21 with equal amounts of Norwalk VLP
(NVLP) and composite VLP (CVLP). Spleens were collected on day 35 and unfractionated
cells were stimulated in vitro for 5 days. Splenocytes were stimulated with various VLPs from the two genogroups
as indicated in the graph legend. Results are displayed as geometric group means +
SD.
Figure 17. Mice were immunized IP on days 0 and 7 with equal amounts of Norwalk VLP (NVLP) and
composite VLP (CVLP) as indicated on the X axis. Serum was collected on day 14 and
analyzed for the presence of VLP-specific IgG by ELISA. Individual responses are shown
and titers are expressed as reciprocal dilutions. Horizontal bars represent geometric
group means.
Figure 18. Mice were immunized IP on days 0 and 7 with equal amounts of Norwalk VLP (NVLP) and
composite VLP (CVLP) as indicated on the X axis. Serum was collected on day 14 and
analyzed for the presence of antibodies capable of inhibiting hemagglutination of
human red blood cells (type O positive). Individual responses are shown and titers
are expressed as reciprocal dilutions. Horizontal bars represent geometric group means.
Figure 19. Serum anti-VLP IgG in rabbits intranasally immunized on days 0 and 21 with 50µg of
VLP vaccine formulation (Norwalk VLPs + composite GII.4 VLPs). Individual responses
are shown and expressed in µg/mL from serum collected on day 35. Bars indicate the
geometric group means.
Figure 20. Amino acid consensus sequence of VP1 proteins from genogroup II Norovirus (SEQ ID
NO: 7). The consensus sequence was determined from an alignment of GII.1 (Accession
Number: AAL13001), GII.2 Snow Mountain (Accession Number: AAB61685), and GII.3 (Accession
Number: AAL12998) strains. The "x" indicates positions in which the amino acid differed
among all three strains.
Figure 21. Amino acid consensus sequence of VP1 proteins from genogroup I Norovirus (SEQ ID
NO: 12). The consensus sequence was determined from an alignment of Norwalk virus
(Accession Number: M87661), Southampton (Accession Number: Q04542), and Chiba virus
(Accession Number: BAB 18267) strains. The "x" indicates positions in which the amino
acid differed among all three strains.
Figure 22. Amino acid consensus sequence of L1 proteins from Human Papillomavirus (SEQ ID NO:
17). The consensus sequence was determined from an alignment of HPV-11, HPV-16, and
HPV-18 viral strains. The "x" indicates positions in which the amino acid differed
among all three strains.
DETAILED DESCRIPTION OF THE INVENTION
[0017] The present invention provides vaccine formulations comprising a polypeptide having
a composite amino acid sequence, wherein the composite amino acid sequence is derived
from capsid sequences of circulating strains of non-enveloped virus. Virus-like particles
produced from such polypeptide sequences provide antigenic epitopes for several viral
strains and can be used to induce an immune response that is protective against viral
infection from multiple strains. Accordingly, the present invention provides a virus-like
particle comprising at least one polypeptide having a composite amino acid sequence.
A "composite amino acid sequence" or "composite sequence", as used herein, is a sequence
derived from a consensus sequence of at least two viral protein sequences. In one
embodiment, the viral protein sequences are capsid sequences. A composite amino acid
sequence may be derived from a consensus sequence by selecting one of two or more
amino acids at the variable positions in the consensus sequence.
[0018] As used herein, a "consensus sequence" is a sequence containing one or more variable
amino acids, and is determined by aligning and comparing the viral protein sequences
of two or more viruses. A consensus sequence may also be determined by aligning and
comparing the nucleotide sequences of two or more viruses. The consensus sequence
may be determined from protein or nucleotide sequences of two or more, three or more,
four or more, five or more, six or more, seven or more, eight or more, or nine or
more circulating strains of a non-enveloped virus.
[0019] The polypeptide having a composite amino acid sequence may contain at least one different,
at least two different, at least three different, at least four different, at least
five different, at least six different, at least seven different, at least eight different,
at least nine different, at least ten different, at least fifteen different, at least
twenty different, at least twenty-five different, at least thirty different, at least
thirty-five different, at least forty different, at least forty-five different, or
at least fifty different amino acids as compared to each of the protein sequences
of the two or more circulating strains used to determine the consensus sequence. In
some embodiments, the polypeptide having a composite amino acid sequence may form
a virus-like particle when expressed in a host cell.
[0020] In one embodiment of the invention, the virus-like particle (VLP) comprises at least
one polypeptide having a composite amino acid sequence, wherein said composite amino
acid sequence is derived from a consensus sequence representing the capsid proteins
of two or more circulating strains of a non-cnvclopcd virus, and wherein the at least
one polypeptide forms a virus-like particle when expressed in a host cell and contains
at least 1 different amino acid as compared to each of the capsid scqucnccs of said
two or more circulating strains. Preferably, the virus-like particle has antigenic
properties of the two or more, three or more, four or more, five or more, six or more,
seven or more, eight or more, or nine or more circulating strains of a non-enveloped
virus. In some embodiments, the virus-like particle provides an increase in antisera
cross-reactivity to one or more, two or more, three or more, four or more, five or
more, six or more, seven or more, eight or more, or nine or more circulating strains
of the non-enveloped virus as compared to the antisera cross-reactivity obtained by
immunizing with a virus-like particle containing only protein from one or more circulating
strains. In one embodiment, the virus-like particle provides at least a two-fold increase
in antisera cross-reactivity.
[0021] In another embodiment, the virus-like particle comprises at least one polypeptide
having a composite amino acid sequence derived from a consensus sequence representing
the capsid proteins of two or more circulating strains of a non-enveloped virus, wherein
the non-enveloped virus is selected from the group consisting of Calicivirus, Picornavirus,
Astrovirus, Adenovirus, Reovirus, Polyomavirus, Papillomavirus, Parvovirus, and Hepatitis
E virus. The invention also includes strains of non-enveloped viruses that have not
yet been characterized or discovered at the time of filing. In some embodiments, among
others, the non-enveloped virus is a Calicivirus. Caliciviruses are divided into four
genera: Norovirus and Sapovirus, which cause infection in humans, and Lagovirus and
Vesivirus, which are associated with veterinary infections. In preferred embodiments,
the Calicivirus is a Sapovirus or Norovirus.
[0022] The Norovirus genus is split primarily into two major genogroups (GI and GII). Two
other genogroups (GIII and GIV) are proposed, but generally accepted. Representative
of GIII is the bovine, Jena strain. GIV contains one virus, Alphatron, at this time.
The GI and GII groups may be further segregated into clusters or genotypes based on
genetic classification (
Ando et al. (2000) J. Infectious Diseases, Vol. 181(Supp2):S336-S348;
Lindell et al. (2005) J. Clin. Microbiol., Vol. 43(3): 1086-1092). As used herein, the term genetic clusters is used interchangeably with the term
genotypes. Within genogroup I, there are 6 GI clusters (with prototype virus strain
name): GI.1 (Norwalk); GI.2 (Southhampton); GI.3 (Desert Shield); GI.4 (Cruise Ship
virus/Chiba); GI.5 (318/Musgrove); and GI.6 (Hesse). Within genogroup II, there arc
9 GTI clusters (with prototype virus strain name): GII.1 (Hawaii); GII.2 (Snow Mountain/Melksham);
GII.3 (Toronto); GII.4 (Bristol/Lordsdale); GII.5 (290/Hillingdon); GII.6 (269/Scacroft);
GII.7 (273/Lccds); GII.8 (539/Amstcrdam); and GII.9 (378). The circulating Norovirus
strains are classified through comparison to prototype strains belonging to these
genetic clusters. The most prevalent circulating strains belong to genogroup II.
[0023] Nucleic acid and protein sequences for a number of Norovirus isolates are known.
Additional representative, non-limiting sequences, including sequences of ORF1, ORF2,
ORF3, and their encoded polypeptides from Norovirus isolates are listed in the National
Center for Biotechnology Information (NCBI) database. In one embodiment of the invention,
the Norovirus may be a genogroup I or genogroup II Norovirus. Composite and consensus
amino acid sequences may be determined from any of the known Norovirus strains. See,
for example, GenBank entries: Norovirus genogroup 1 strain Hu/NoV/West Chester/2001/USA,
GenBank Accession No. AY502016; Norovirus genogroup 2 strain Hu/NoV/Braddock Heights/1999/USA,
GenBank Accession No. AY502015; Norovirus genogroup 2 strain Hu/NoV/Fayette/1999/USA,
GenBank Accession No. AY502014; Norovirus genogroup 2 strain Hu/NoV/Fairfield/1999/USA,
GenBank Accession No. AY502013; Norovirus genogroup 2 strain Hu/NoV/Sandusky/1999/USA,
GenBank Accession No. AY502012; Norovirus genogroup 2 strain Hu/NoV/Canton/1999/USA,
GenBank Accession No. AY502011; Norovirus genogroup 2 strain Hu/NoV/Tiffin/1999/USA,
GenBank Accession No. AY502010; Norovirus genogroup 2 strain Hu/NoV/CS-E1/2002/USA,
GenBank Accession No. AY50200; Norovirus genogroup 1 strain Hu/NoV/Wisconsin/2001/USA,
GenBank Accession No. AY502008; Norovirus genogroup 1 strain Hu/NoV/CS-841/2001/USA,
GenBank Accession No. AY502007; Norovirus genogroup 2 strain Hu/NoV/Hiram/2000/USA,
GenBank Accession No. AY502006; Norovirus genogroup 2 strain Hu/NoV/Tontogany/1999/USA,
GenBank Accession No. AY502005; Norwalk virus, complete genome, GenBank Accession
No. NC.sub.--001959; Norovirus Hu/GI/Otofuke/1979/JP genomic RNA, complete genome,
GenBank Accession No. AB187514; Norovirus Hu/Hokkaido/133/2003/JP, GenBank Accession
No. AB212306; Norovirus Sydney 2212, GenBank Accession No. AY588132; Norwalk virus
strain SN2000JA, GenBank Accession No. AB190457; Lordsdale virus complete genome,
GenBank Accession No. X86557; Norwalk-like virus genomic RNA, Gifu'96, GenBank Accession
No. AB045603; Norwalk virus strain Vietnam 026, complete genome, GenBank Accession
No. AF504671; Norovirus Hu/GII.4/2004/N/L, GenBank Accession No. AY883096; Norovirus
Hu/GII/Hokushin/03/JP, GenBank Accession No. AB195227; Norovirus Hu/GII/Kamo/03/JP,
GenBank Accession No. AB195228; Norovirus Hu/GII/Sinsiro/97/JP, GenBank Accession
No. AB195226; Norovirus Hu/GII/Ina/02/JP, GenBank Accession No. AB195225; Norovirus
Hu/NLV/GII/Neustrelitz260/2000/DE, GenBank Accession No. AY772730; Norovirus Hu/NLV/Dresden174/pUS-NorII/1997/GE,
GenBank Accession No. AY741811; Norovirus Hu/NLV/Oxford/B2S16/2002/UK, GenBank Accession
No. AY587989; Norovirus Hu/NLV/Oxford/B4S7/2002/UK, GenBank Accession No. AY587987;
Norovirus Hu/NLV/Witney/B7S2/2003/UK, GenBank Accession No. AY588030; Norovirus Hu/NLV/Banbury/B9S23/2003/UK,
GenBank Accession No. AY588029; Norovirus Hu/NLV/ChippingNorton/2003/UK, GenBank Accession
No. AY588028; Norovirus Hu/NLV/Didcot/B9S2/2003/UK, GenBank Accession No. AY588027;
Norovirus Hu/NLV/Oxford/B8S5/2002/UK, GenBank Accession No. AY588026; Norovirus Hu/NLV/Oxford/B6S4/2003/UK,
GenBank Accession No. AY588025; Norovirus Hu/NLV/Oxford/B6S5/2003/UK, GenBank Accession
No. AY588024; Norovirus Hu/NLV/Oxford/B5S23/2003/UK, GenBank Accession No. AY588023;
Norovirus Hu/NLV/Oxford/B6S2/2003/UK, GenBank Accession No. AY588022; Norovirus Hu/NLV/Oxford/B6S6/2003/UK,
GenBank Accession No. AY588021; Norwalk-like virus isolate Bo/Thirsk10/00/UK, GenBank
Accession No. AY126468; Norwalk-like virus isolate Bo/Penrith55/00/UK, GenBank Accession
No. AY126476; Norwalk-like virus isolate Bo/Aberystwyth24/00/UK, GenBank Accession
No. AY 126475; Norwalk-like virus isolate Bo/Dumfries/94/UK, GenBank Accession No.
AY126474; Norovirus NLV/IF2036/2003/Iraq, GenBank Accession No. AY675555; Norovirus
NLV/IF1998/2003/Iraq, GenBank Accession No. AY675554; Norovirus NLV/BUDS/2002/USA,
GenBank Accession No. AY660568; Norovirus NLV/Paris Island/2003/USA, GenBank Accession
No. AY652979; Snow Mountain virus, complete genome, GenBank Accession No. AY134748;
Norwalk-like virus NLV/Fort Lauderdale/560/1998/US, GenBank Accession No. AF414426;
Hu/Norovirus/hiroshima/1999/JP(9912-02F), GenBank Accession No. AB044366; Norwalk-like
virus strain 11MSU-MW, GenBank Accession No. AY274820; Norwalk-like virus strain B-1SVD,
GenBank Accession No. AY274819; Norovirus genogroup 2 strain Hu/NoV/Farmington Hills/2002/USA,
GenBank Accession No. AY502023; Norovirus genogroup 2 strain Hu/NoV/CS-G4/2002/USA,
GenBank Accession No. AY502022; Norovirus genogroup 2 strain Hu/NoV/CS-G2/2002/USA,
GenBank Accession No. AY502021; Norovirus genogroup 2 strain Hu/NoV/CS-G12002/USA,
GenBank Accession No. AY502020; Norovirus genogroup 2 strain Hu/NoV/Anchorage/2002/USA,
GenBank Accession No. AY502019; Norovirus genogroup 2 strain Hu/NoV/CS-D1/2002/CAN,
GenBank Accession No. AY502018; Norovirus genogroup 2 strain Hu/NoV/Germanton/2002/USA,
GenBank Accession No. AY502017; Human calicivirus NLV/GII/Langen1061/2002/DE, complete
genome, GenBank Accession No. AY485642; Murine norovirus 1 polyprotein, GenBank Accession
No. AY228235; Norwalk virus, GenBank Accession No. AB067536; Human calicivirus NLV/Mex7076/1999,
GenBank Accession No. AF542090; Human calicivirus NLV/Oberhausen 455/01/DE, GenBank
Accession No. AF539440; Human calicivirus NLV/Herzberg 385/01/DE, GenBank Accession
No. AF539439; Human calicivirus NLV/Boxer/2001/US, GenBank Accession No. AF538679;
Norwalk-like virus genomic RNA, complete genome, GenBank Accession No. AB081723; Norwalk-like
virus genomic RNA, complete genome, isolate:Saitama U201, GenBank Accession No. AB039782;
Norwalk-like virus genomic RNA, complete genome, isolate:Saitama U18, GenBank Accession
No. AB039781; Norwalk-like virus genomic RNA, complete genome, isolate:Saitama U25,
GenBank Accession No. AB039780; Norwalk virus strain:U25GII, GenBank Accession No.
AB067543; Norwalk virus strain: U201 GII, GenBank Accession No. AB067542; Norwalk-like
viruses strain 416/97003156/1996/LA, GenBank Accession No. AF080559; Norwalk-like
viruses strain 408/97003012/1996/FL, GenBank Accession No. AF080558; Norwalk-like
virus NLV/Burwash Landing/331/1995/US, GenBank Accession No. AF414425; Norwalk-like
virus NLV/Miami Beach/326/1995/US, GenBank Accession No. AF414424; Norwalk-like virus
NLV/White River/290/1994/US, GenBank Accession No. AF414423; Norwalk-like virus NLV/New
Orleans/306/1994/US, GenBank Accession No. AF414422; Norwalk-like virus NLV/Port Canaveral/301/1994/US,
GenBank Accession No. AF414421; Norwalk-like virus NLV/Honolulu/314/1994/US, GenBank
Accession No. AF414420; Norwalk-like virus NLV/Richmond/283/1994/US, GenBank Accession
No. AF414419; Norwalk-like virus NLV/Westover/302/1994/US, GenBank Accession No. AF414418;
Norwalk-like virus NLV/UK3-17/12700/1992/GB, GenBank Accession No. AF414417; Norwalk-like
virus NLV/Miami/81/1986/US, GenBank Accession No. AF414416; Snow Mountain strain,
GenBank Accession No. U70059; Desert Shield virus DSV395, GenBank Accession No. U04469;
Norwalk virus, complete genome, GenBank Accession No. AF093797; Hawaii calicivirus,
GenBank Accession No. U07611; Southampton virus, GenBank Accession No. L07418; Norwalk
virus (SRSV-KY-89/89/J), GenBank Accession No. L23828; Norwalk virus (SRSV-SMA/76/US),
GenBank Accession No. L23831; Camberwell virus, GenBank Accession No. U46500; Human
calicivirus strain Melksham, GenBank Accession No. X81879; Human calicivirus strain
MX, GenBank Accession No. U22498; Minireovirus TV24, GenBank Accession No. U02030;
and Norwalk-like virus NLV/Gwynedd/273/1994/US, GenBank Accession No. AF414409; sequences
of all of which (as entered by the date of filing of this application) are herein
incorporated by reference. Additional Norovirus sequences are disclosed in the following
patent publications:
WO 2005/030806,
WO 2000/79280,
JP2002020399,
US2003129588,
U.S. Pat. No. 6,572,862,
WO 1994/05700, and
WO 05/032457, all of which are herein incorporated by reference in their entireties. See also
Green et al. (2000) J. Infect. Dis., Vol. 181(Suppl. 2):S322-330;
Wang et al. (1994) J. Virol., Vol. 68:5982-5990;
Chen et al. (2004) J. Virol., Vol. 78: 6469-6479;
Chakravarty et al. (2005) J. Virol., Vol. 79: 554-568;
Hansman et al. (2006) J. Gen. Virol., Vol. 87:909-919;
Bull et al. (2006) J. Clin. Micro., Vol. 44(2):327-333;
Siebenga, et al. (2007) J. Virol., Vol. 81(18):9932-9941, and
Fankhauser et al. (1998) J. Infect. Dis., Vol. 178:1571-1578; for sequence comparisons and a discussion of genetic diversity and phylogenetic
analysis of Noroviruses.
[0024] Nucleic acid and protein sequences for a number of Sapovirus isolates are also known.
Representative Sapovirus sequences, including sequences of ORF1 and ORF2, and their
encoded polypeptides from Sapovirus isolates are listed in the National Center for
Biotechnology Information (NCBI) database. See, for example, GenBank entries: Sapovirus
Mc10, GenBank Accession No. NC.sub.--010624; Sapporo virus, GenBank Accession No.
U65427; Sapovirus Mc10, GenBank Accession No. AY237420; Sapovirus SaKaeo-15/Thailand,
GenBank Accession No. AY646855; Sapporo virus, GenBank Accession No. NC.sub.--006269;
Sapovirus C12, GenBank Accession No. NC.sub.--006554; Sapovirus C12, GenBank Accession
No. AY603425; Sapovirus Hu/Dresden/pJG-Sap01/DE, GenBank Accession No. AY694184; Human
calicivirus SLV/cruise ship/2000/USA, GenBank Accession No. AY289804; Human calicivirus
SLV/Arg39, GenBank Accession No. AY289803; Porcine enteric calicivirus strain LL14,
GenBank Accession No. AY425671; Porcine enteric calicivirus, GenBank Accession No.
NC.sub.--000940; Human calicivirus strain Mc37, GenBank Accession No. AY237415; Mink
enteric calicivirus strain Canada 151A, GenBank Accession No. AY144337; Human calicivirus
SLV/Hou7-1181, GenBank Accession No. AF435814; Human calicivirus SLV/Mex14917/2000,
GenBank Accession No. AF435813; Human calicivirus SLV/Mex340/1990, GenBank Accession
No. AF435812; Porcine enteric calicivirus, GenBank Accession No. AF182760; Sapporo
virus-London/29845, GenBank Accession No. U95645; Sapporo virus-Manchester, GenBank
Accession No. X86560; Sapporo virus-Houston/86, GenBank Accession No. U95643; Sapporo
virus-Houston/90, GenBank Accession No. U95644; and Human calicivirus strain HuCV/Potsdam/2000/DEU,
GenBank Accession No. AF294739; sequences of all of which (as entered by the date
of filing of this application) are herein incorporated by reference. See also
Schuffenecker et al. (2001) Arch Virol., Vol. 146(11):2115-2132;
Zintz et al. (2005) Infect. Genet. Evol., Vol. 5:281-290;
Farkas et al. (2004) Arch. Virol., Vol. 149:1309-1323; for sequence comparisons and a discussion of genetic diversity and phylogenetic
analysis of Sapoviruses.
[0025] The composite and consensus amino acid sequences may be derived from capsid sequences
of at least two Norovirus genogroup I or genogroup II strains. In one embodiment,
the VLP comprises a polypeptide having a composite sequence derived from a consensus
sequence of the capsid proteins from two or more genogroup II, genotype 4 Norovirus
strains. Non-limiting examples of genogroup 11, genotype 4 Norovirus strains include
Houston strain, Minerva strain, Laurens strain, Bristol strain, Lordsdale strain,
Farmington Hills strain, Hunter strain, Carlow strain, and the US95/96-US, 2006a,
and 2006b strains.
[0026] In another embodiment of the invention, the virus-like particle is comprised of at
least one composite polypeptide wherein the sequence of the composite polypeptide
is derived from the VP1 sequences of Houston, Minerva, and Laurens. In another embodiment,
the composite sequence is SEQ ID NO: 1. In still another embodiment, composite sequences
based on Houston, Minerva, and Laurens may be derived from the consensus sequence
defined by SEQ ID NO: 2.
[0027] In some embodiments, the consensus sequence may be determined from Norovirus strains
from at least two different genotypes or at least two different genogroups. In one
embodiment of the present invention the virus-like particle is comprised of at least
one polypeptide having a composite amino acid sequence, wherein the composite amino
acid sequence is derived from a consensus scqucncc of capsid proteins of Norovirus
strains from at least two different genotypes within a genogroup. By way of example,
the consensus sequence may be derived from the capsid sequences of genogroup II, genotype
2 and genogroup II, genotype 4 Norovirus strains. In another embodiment, the consensus
sequence may be derived from the capsid sequences of three or more genotypes within
a genogroup.
[0028] In other embodiments, the consensus sequence may be determined from Norovirus strains
from at least two different genogroups. One such embodiment, among others, would be
a VLP comprising a polypeptide having a composite amino acid sequence, wherein said
composite amino acid sequence is derived from a consensus sequence of capsid proteins
of genogroup I, genotype 1 and genogroup II, genotype 4 Norovirus strains.
[0029] The present invention also provides a virus-like particle (VLP) comprising a composite
polypeptide derived from a consensus sequence of capsid proteins from two or more
circulating strains of Norovirus and a capsid protein from a second Norovirus. The
second Norovirus may be a genogroup I or genogroup II Norovirus. The capsid protein
from the second Norovirus can be the major capsid protein, VP1, which is encoded by
ORF 2, or the minor capsid protein, VP2, which is encoded by ORF 3, or combinations
of VP1 and VP2. In one embodiment, the capsid protein from the second Norovirus is
a VP1 protein from a genogroup I Norovirus.
[0030] In another embodiment, the invention provides a VLP comprising a composite polypeptide
derived from a consensus sequence representing the capsid proteins of two or more
circulating strains of Calicivirus and a second polypeptide having a second composite
amino acid sequence, wherein said second composite amino acid sequence is derived
from a consensus sequence representing the capsid proteins of two or more circulating
strains of a second Calicivirus. Preferably, the virus-like particle has antigenic
properties of the two or more circulating strains of the first Calicivirus and the
two or more circulating strains of the second Calicivirus.
[0031] The second polypeptide contains at least one different, at least three different,
at least five different, at least ten different, at least fifteen different, at least
twenty different, at least twenty-five different, at least thirty different, at least
thirty-five different, at least forty different, at least forty-five different, or
at least fifty different amino acids as compared to each of the capsid sequences of
said two or more circulating strains of the second Calicivirus. In some embodiments,
the second polypeptide forms a virus-like particle when expressed in a host cell.
In another embodiment, the second Calicivirus is a Norovirus. In another embodiment,
the Norovirus is a genogroup I Norovirus. The genogroup I Norovirus may be any of
the genogroup I strains disclosed herein. In one embodiment, the genogroup I Norovirus
is selected from the group consisting of Norwalk virus, Southampton virus, Hesse virus,
and Chiba virus.
[0032] The present invention also encompasses isolated polypeptides or fragments thereof
having the composite amino acid sequences defined here in, as well as nucleic acids
or vectors encoding the same. In one embodiment, the isolated polypeptide or fragment
thereof has a composite amino acid sequence, wherein said composite amino acid sequence
is derived from a consensus sequence representing the capsid proteins of two or more
circulating strains of a non-enveloped virus, and wherein the polypeptide contains
at least 1 different amino acid as compared to each of the capsid sequences of said
two or more circulating strains. In another embodiment, the composite sequence contains
at least 3 different amino acids compared to the capsid sequence of one or more circulating
strains of the non-enveloped virus. In another embodiment, the composite sequence
contains 5-50 different amino acids compared to the capsid sequence of one or more
circulating strains of the non-enveloped virus. In still another embodiment, the consensus
sequence is SEQ ID NO: 2.
[0033] The composite polypeptide may have a sequence derived from two or more circulating
strains of any non-enveloped virus disclosed herein. In one embodiment, the non-enveloped
virus is a Calicivirus. In another embodiment, the Calicivirus is a Norovirus or Sapovirus.
In another embodiment, the Norovirus is a genogroup I or genogroup II Norovirus, or
combinations thereof. In yet another embodiment, the isolated polypeptide has the
amino acid sequence of SEQ ID NO: 1.
[0034] In one embodiment, the present invention provides an isolated nucleic acid encoding
the polypeptide having a composite amino acid sequence, wherein said composite amino
acid sequence is derived from a consensus sequence representing the capsid proteins
of two or more circulating strains of a non-enveloped virus, and wherein the polypeptide
contains at least 1 different amino acid as compared to each of the capsid sequences
of said two or more circulating strains. In another embodiment, the nucleic acid has
the sequence of SEQ ID NO: 3. In another embodiment, the invention provides a vector
comprising an isolated nucleic acid encoding a composite polypeptide. In yet another
embodiment, the invention provides a host cell comprising a vector encoding a composite
polypeptide.
[0035] The antigenic molecules of the present invention (e.g. VLPs, polypeptides, and fragments
thereof) can be prepared by isolation and purification from the organisms in which
they occur naturally, or they may be prepared by recombinant techniques. Once coding
sequences for the desired particle-forming polypeptides have been isolated or synthesized,
they can be cloned into any suitable vector or replicon for expression. Numerous cloning
vectors are known to those of skill in the art, and the selection of an appropriate
cloning vector is within the skill of an ordinary artisan. The vector is then used
to transform an appropriate host cell. Suitable recombinant expression systems include,
but are not limited to, bacterial (
e.g. E. coli, Bacillus subtilis, and
Streptococcus), baculovirus/insect, vaccinia, Semliki Forest virus (SFV), Alphaviruses (such as,
Sindbis, Venezuelan Equine Encephalitis (VEE)), mammalian (
e.g. Chinese hamster ovary (CHO) cells, HEK-293 cells, HeLa cells, baby hamster kidney
(BHK) cells, mouse myeloma (SB20), and monkey kidney cells (COS)), yeast (
e.g. S. cerevisiae, S. pombe, Pichia pastori and other
Pichia expression systems), plant, and Xenopus expression systems, as well as others known
in the art. Particularly preferred expression systems are mammalian cell lines, bacteria,
insect cells, and yeast expression systems.
[0036] Each of the aforementioned antigens (
e.g. VLPs, polypeptides, or fragments thereof) is preferably used in the substantially
pure state. Depending on the expression system and host selected, VLPs are produced
by growing host cells transformed by an expression vector under conditions whereby
the particle-forming polypeptide is expressed and VLPs can be formed. The selection
of the appropriate growth conditions is within the skill of the art.
[0037] Preferably the VLP antigens are prepared from insect cells such as Sf9, High Five,
TniPro, Aedes aegypti, Autographa californica, Bombyx mori, Drosophila melanogaster,
Spodoptera frugiperda, and Trichoplusia ni. The procedures for producing VLPs in insect
cell culture is well known in the art (see, for example,
U.S. Patent No. 6,942,865, which is incorporated herein by reference in its entirety). Briefly, the recombinant
baculoviruses carrying the composite capsid sequence are constructed from the sythetic
cDNAs. The recombinant baculovirus are then used to infect insect cell cultures (
e.g. Sf9 , High Five and TniPro cells) and composite VLPs can be isolated from the cell
culture. A "composite VLP" is a VLP comprising at least one polypeptide having a composite
amino acid sequence derived from a consensus sequence representing the capsid proteins
of two or more circulating strains of a non-cnvclopcd virus.
[0039] The particles are then isolated (or substantially purified) using methods that preserve
the integrity thereof, such as, by density gradient centrifugation,
e.g., sucrose gradients, PEG-precipitation, pelleting, and the like (see, e.g.,
Kirnbauer et al. J. Virol. (1993) 67:6929-6936), as well as standard purification techniques including,
e.g., ion exchange and gel filtration chromatography.
[0040] General texts which describe molecular biological techniques, which are applicable
to the present invention, such as cloning, mutation, and the like, include
Berger and Kimmel, Guide to Molecular Cloning Techniques, Methods in Enzymology volume
152 Academic Press, Inc., San Diego, Calif. (Berger);
Sambrook et al., Molecular Cloning--A Laboratory Manual (3rd Ed.), Vol. 1-3, Cold
Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 2000 ("
Sambrook") and Current Protocols in Molecular Biology, F. M. Ausubel et al., eds.,
Current Protocols, a joint venture between Greene Publishing Associates, Inc. and
John Wiley & Sons, Inc., ("Ausubel"). These texts describe mutagenesis, the use of vectors, promoters and many other
relevant topics related to,
e.g., the cloning and expression of capsid proteins of non-enveloped viruses, such as
Calicivirus.
[0041] In some embodiments, the antigenic molecules of the present invention (
e.g. VLPs, polypeptides, and fragments thereof) are produced
in vivo by administration of a vector comprising an isolated nucleic acid encoding a composite
polypeptide. Suitable vectors include, but are not limited to, viral vectors, such
as Vesicular Stomatitis Virus (VSV) vector, Equine Encephalitis Virus (EEV) vector,
Poxvirus vector, Adenovirus vector, Adeno-Associated Virus (AAV), retrovirus vector,
and expression plasmids, such as pFastBac1, pWINEO, pSV2CAT, pOG44, pXT1, pSG, pSVK3,
pBPV, pMSG, and pSVL. Other suitable vectors will be readily apparent to the skilled
artisan.
[0042] The present invention also encompasses a vaccine formulation comprising the VLPs,
polypeptides, or nucleic acids described herein. In one embodiment, the vaccine formulation
comprises a composite VLP and a second virus-like particle, wherein said second virus-like
particle comprises a capsid protein from a Norovirus. The second VLP may comprise
a native capsid protein from a genogroup I or gcnogroup II Norovirus. The second VLP
may comprise a full length Norovirus capsid protein such as VP1 and/or VP2 protein
or certain VP1 or VP2 derivatives. Alternatively, the second VLP comprises a truncated
capsid protein, such as a truncated VP1 protein. The truncation may be an N- or C-terminal
truncation. Truncated capsid proteins are suitably functional capsid protein derivatives.
Functional capsid protein derivatives are capable of raising an immune response in
the same way as the immune response is raised by a VLP consisting of the full length
capsid protein. Vaccine formulations comprising mixtures of VLPs are described in
WO 2008/042789, which is herein incorporated by reference in its entirety. Purely by way of example
the vaccine formulation can contain VLPs from one or more strains of Norovirus genogroup
I together with VLPs comprising a composite protein from one or more strains of Norovirus
genogroup II. Preferably, the Norovirus VLP mixture is composed of the strains of
Norwalk and genogroup II, genotype 4 Noroviruses. In another embodiment, the vaccine
formulation comprises a composite VLP and a Norwalk VLP, wherein the composite VLP
comprises a polypeptide having an amino acid sequence of SEQ ID NO: 1. In still another
embodiment, the vaccine formulation comprises a first composite VLP and a second composite
VLP, wherein said first and second composite VLPs comprise at least one polypeptide
derived from different consensus sequences. For instance, a first composite VLP comprises
a composite protein from one or more strains of Norovirus genogroup I and a second
composite VLP comprises a composite protein from one or more strains of Norovirus
genogroup II. In one embodiment, the first composite VLP comprises a composite protein
from one or more strains of Norovirus genogroup I, genotype 1 (GI.1) and a second
composite VLP comprises a composite protein from one or more strains of Norovirus
genogroup II, genotype 4 (GII.4).
[0043] In some embodiments, the vaccine formulation further comprises an adjuvant. Most
adjuvants contain a substance designed to protect the antigen from rapid catabolism,
such as aluminum hydroxide or mineral oil, and a stimulator of immune responses, such
as Bordatella pertussis or Mycobacterium tuberculosis derived proteins. Suitable adjuvants
are commercially available as, for example, Freund's Incomplete Adjuvant and Complete
Adjuvant (Pifco Laboratories, Detroit, Mich.); Merck Adjuvant 65 (Merck and Company,
Inc., Rahway, N.J.); mineral salts, including aluminum salts such as aluminum hydroxide
gel (alum) or aluminum phosphate and salts of calcium, iron or zinc; an insoluble
suspension of acylated tyrosine acylated sugars; cationically or anionically derivatized
polysaccharides; polyphosphazenes; biodegradable microspheres; and Quil A.
[0044] Suitable adjuvants also include, but are not limited to, toll-like receptor (TLR)
agonists, monophosphoryl lipid A (MPL), synthetic lipid A, lipid A mimetics or analogs,
aluminum salts, cytokines, saponins, muramyl dipeptide (MDP) derivatives, CpG oligos,
lipopolysaccharide (LPS) of gram-negative bacteria, polyphosphazenes, emulsions, virosomes,
cochleates, poly(lactide-co-glycolides) (PLG) microparticles, poloxamer particles,
microparticles, liposomes, oil-in-water emulsion, MF59, and squalene. In some embodiments,
the adjuvants are bacterially-derived exotoxins. In other embodiments, adjuvants which
stimulate a Th1 type response, such as 3DMPL or QS21, may be used. In certain embodiments,
the adjuvant is a combination of MPL and aluminum hydroxide.
[0045] In some embodiments, the adjuvant is monophosphoryl lipid A (MPL). MPL is a nontoxic
derivative of lipid A from Salmonella, is a potent TLR-4 agonist that has been developed
as a vaccine adjuvant (
Evans et al. (2003) Expert Rev Vaccines, Vol. 2: 219-229). In pre-clinical murine studies intranasal MPL has been shown to enhance secretory,
as well as systemic, humoral responses (
Baldridge et al. (2000) Vaccine, Vol. 18: 2416-2425;
Yang et al. (2002) Infect Immun., Vol. 70: 3557-3565). It has also been proven to be safe and effective as a vaccine adjuvant in clinical
studies of greater than 120,000 patients (
Baldrick et al. (2002) Regul Toxicol Pharmacol, Vol. 35: 398-413). MPL stimulates the induction of innate immunity through the TLR-4 receptor and
is thus capable of eliciting nonspecific immune responses against a wide range of
infectious pathogens, including both gram negative and gram positive bacteria, viruses,
and parasites (
Persing et al. (2002) Trends Microbiol, Vol. 10: S32-37). Inclusion of MPL in intranasal formulations should provide rapid induction of innate
responses, eliciting nonspecific immune responses from viral challenge while enhancing
the specific responses generated by the antigenic components of the vaccine. In some
embodiments, MPL can be combined with one or more additional adjuvants. For instance,
MPL can be combined with aluminum hydroxide to create a suitable adjuvant for intramuscular
administration of a vaccine formulation.
[0046] In other embodiments, the adjuvant is a naturally occurring oil, such as squalene.
Squalene is a triterpenoid hydrocarbon oil (C
30H
50) produced by plants and is present in many foods. Squalene is also produced abundantly
by human beings, for whom it serves as a precursor of cholesterol and steroid hormones.
It is synthesized in the liver and the skin, transported in the blood by vcry-low-dcnsity
lipoprotcins (VLDL) and low-density lipoprotcins (LDL), and secreted in large amounts
by sebaceous glands.
[0047] Since it is a natural component of the human body and is biodegradable, squalene
has been used as a component of vaccine adjuvants. One of these squalene adjuvants
is MF59, an oil-in-water emulsion developed by Chiron. MF59 has been shown in various
preclinical and clinical studies to significantly enhance the immune response to a
wide variety of vaccine antigens. MF59 is a part of an influenza subunit vaccine,
which has been licensed in various European countries since 1997. More than 20 million
doses of this vaccine have been given, and it has been shown to have an excellent
safety profile. The safety of vaccines with the MF59 adjuvant has also been shown
by various investigational clinical studies using recombinant antigens from hepatitis
B virus, hepatitis C virus, cytomegalovirus, herpes simplex virus, human immunodeficiency
virus, uropathogenic
Escherichia coli, etc., in various age groups, including 1- to 3-day-old newborns.
[0048] The term "effective adjuvant amount" or "effective amount of adjuvant" will be well
understood by those skilled in the art, and includes an amount of one or more adjuvants
which is capable of stimulating the immune response to an administered antigen,
i.e., an amount that increases the immune response of an administered antigen composition,
as measured in terms of the IgA levels in the nasal washings, serum IgG or IgM levels,
or B and T-Cell proliferation. Suitably effective increases in immunoglobulin levels
include by more than 5%, preferably by more than 25%, and in particular by more than
50%, as compared to the same antigen composition without any adjuvant.
[0049] In another embodiment of the invention, the vaccine formulation may further comprise
a delivery agent, which functions to enhance antigen uptake based upon, but not restricted
to, increased fluid viscosity due to the single or combined effect of partial dehydration
of host mucopolysaccharides, the physical properties of the delivery agent, or through
ionic interactions between the delivery agent and host tissues at the site of exposure,
which provides a depot effect. Alternatively, the delivery agent can increase antigen
retention time at the site of delivery (
e.g., delay expulsion of the antigen). Such a delivery agent may be a bioadhesive agent.
In some embodiments, the bioadhesive may be a mucoadhesive agent selected from the
group consisting of glycosaminoglycans (
e.g., chondroitin sulfate, dermatan sulfate chondroitin, kcratan sulfate, heparin, heparan
sulfate, hyaluronan), carbohydrate polymers (
e.g., pectin, alginate, glycogen, amylase, amylopcctin, cellulose, chitin, stachyose,
unulin, dextrin, dextran), cross-linked derivatives of poly(acrylic acid), polyvinyl
alcohol, polyvinyl pyrollidone, polysaccharides (including mucin, other mucopolysaccharides,
and GelSite®, a natural acidic polysaccharide extracted from the aloe plant), polyions,
cellulose derivatives (
e.g., hydroxypropyl methylcellulose, carboxymethylcellulose), proteins (
e.g. lectins, fimbrial proteins), and deoxyribonucleic acid. In one embodiment, the vaccine
formulations comprise a polysaccharide such as chitosan, chitosan salt, chitosan base,
or a natural polysaccharide (e.g. GelSite®).
[0050] Chitosan, a positively charged linear polysaccharide derived from chitin in the shells
of crustaceans, is a bioadhesive for epithelial cells and their overlaying mucus layer.
Formulation of antigens with chitosan increases their contact time with the nasal
membrane, thus increasing uptake by virtue of a depot effect (
Illum et al. (2001) Adv Drug Deliv Rev, Vol. 51: 81-96;
Illum et al. (2003) J Control Release, Vol. 87: 187-198;
Davis et al. (1999) Pharm Sci Technol Today, Vol. 2: 450-456;
Bacon et al. (2000) Infect Immun., Vol. 68: 5764-5770;
van der Lubben et al. (2001) Adv Drug Deliv Rev, Vol. 52: 139-144;
van der Lubben et al. (2001) Eur J Pharm Sci, Vol. 14: 201-207;
Lim et al. (2001) AAPS Pharm Sci Tech, Vol. 2: 20). Chitosan has been tested as a nasal delivery system for several vaccines, including
influenza, pertussis and diphtheria, in both animal models and humans (
Illum et al. (2001) Adv Drug Deliv Rev, Vol. 51: 81-96;
Illum et al. (2003) J Control Release, Vol. 87: 187-198;
Bacon et al. (2000) Infect Immun., Vol. 68: 5764-5770;
Jabbal-Gill et al. (1998) Vaccine, Vol. 16: 2039-2046;
Mills et al. (2003) A Infect Immun, Vol. 71: 726-732;
McNeela et al. (2004) Vaccine, Vol. 22: 909-914). In these trials, chitosan was shown to enhance systemic immune responses to levels
equivalent to parenteral vaccination. In addition, significant antigen-specific IgA
levels were also measured in mucosal secretions. Thus, chitosan can greatly enhance
a nasal vaccine's effectiveness. Moreover, due to its physical characteristics, chitosan
is particularly well suited to intranasal vaccines formulated as powders (
van der Lubben et al. (2001) Eur J Pharm Sci, Vol. 14: 201-207;
Mikszta et al. (2005) J Infect Dis, Vol. 191: 278-288;
Huang et al. (2004) Vaccine, Vol. 23: 794-801).
[0051] In another embodiment of the invention, the vaccine formulation may further comprise
a pharmaceutically acceptable carrier. A pharmaceutically acceptable carrier, including
any suitable diluent or cxcipicnt, includes any pharmaceutical agent that docs not
itself induce the production of an immune response harmful to the subject receiving
the vaccine formulation, and which may be administered without undue toxicity. As
used herein, the term "pharmaceutically acceptable" means being approved by a regulatory
agency of the Federal or a state government or listed in the U.S. Pharmacopia, European
Pharmacopia or other generally recognized pharmacopia for use in mammals, and more
particularly in humans. Pharmaceutically acceptable carriers include, but are not
limited to, saline, buffered saline, dextrose, water, glycerol, sterile isotonic aqueous
buffer, and combinations thereof. A thorough discussion of pharmaceutically acceptable
carriers, diluents, and other excipients is presented in
Remington's Pharmaceutical Sciences (Mack Pub. Co. N.J. current edition). The formulation should suit the mode of administration. In a preferred embodiment,
the formulation is suitable for administration to humans, preferably the formulation
is sterile, non-particulate and/or non-pyrogenic. The vaccine formulation, if desired,
can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
[0052] In some embodiments of the present invention, among others, vaccine formulations
comprise chitosan, a chitosan salt, or a chitosan base. The molecular weight of the
chitosan may be between 10 kDa and 800 kDa, preferably between 100 kDa and 700 kDa
and more preferably between 200 kDa and 600 kDa. The concentration of chitosan in
the composition will typically be up to about 80% (w/w), for example, 5%, 10%, 30%,
50%, 70% or 80%. The chitosan is one which is preferably at least 75% deacetylated,
for example 80-90%, more preferably 82-88% deacetylated, particular examples being
83%, 84%, 85%, 86% and 87% deacetylation.
[0053] The compositions of the invention can be formulated for administration as vaccines
or antigenic formulations. As used herein, the term "vaccine" refers to a formulation
which contains VLPs or other antigens of the present invention as described above,
which is in a form that is capable of being administered to a vertebrate and which
induces a protective immune response sufficient to induce immunity to prevent and/or
ameliorate an infection and/or to reduce at least one symptom of an infection and/or
to enhance the efficacy of another dose of VLPs or antigen. As used herein, the term
"antigenic formulation" or "antigenic composition" refers to a preparation which,
when administered to a vertebrate,
e.g. a mammal, will induce an immune response. As used herein, the term "immune response"
refers to both the humoral immune response and the cell-mediated immune response.
The humoral immune response involves the stimulation of the production of antibodies
by B lymphocytes that, for example, neutralize infectious agents, block infectious
agents from entering cells, block replication of said infectious agents, and/or protect
host cells from infection and destruction. The cell-mediated immune response refers
to an immune response that is mediated by T-lymphocytes and/or other cells, such as
macrophages, against an infectious agent, exhibited by a vertebrate (
e.g., a human), that prevents or ameliorates infection or reduces at least one symptom
thereof. In particular, "protective immunity" or "protective immune response" refers
to immunity or eliciting an immune response against an infectious agent, which is
exhibited by a vertebrate (
e.g., a human), that prevents or ameliorates an infection or reduces at least one symptom
thereof. Specifically, induction of a protective immune response from administration
of the vaccine is evident by elimination or reduction of the presence of one or more
symptoms of gastroenteritis or a reduction in the duration or severity of such symptoms.
Clinical symptoms of gastroenteritis from Norovirus include nausea, diarrhea, loose
stool, vomiting, fever, and general malaise. A protective immune response that reduces
or eliminates disease symptoms will reduce or stop the spread of a Norovirus outbreak
in a population. Vaccine preparation is generally described in
Vaccine Design ("The subunit and adjuvant approach" (eds Powell M. F. & Newman M.
J.) (1995) Plenum Press New York). The compositions of the present invention can be formulated, for example, for administration
to a subject by mucosal or parenteral (
e.g. intramuscular, intravenous, subcutaneous, intradermal, subdermal, or transdermal)
routes of administration. Such mucosal administration could be, but is not limited
to, through gastro-intestinal, intranasal, oral, or vaginal delivery. In one embodiment,
the vaccine formulation is in the form of a nasal spray, nasal drops or dry powder.
In another embodiment, the vaccine formulation is in a form suitable for intramuscular
administration.
[0054] Vaccine formulations of the invention may be liquid formulations or dry powder formulations.
Where the composition is intended for delivery to the respiratory (
e.g. nasal) mucosa, typically it is formulated as an aqueous solution for administration
as an aerosol or nasal drops, or alternatively, as a dry powder,
e.g. for rapid deposition within the nasal passage. Compositions for administration as
nasal drops may contain one or more excipients of the type usually included in such
compositions, for example preservatives, viscosity adjusting agents, tonicity adjusting
agents, buffering agents, and the like. Viscosity agents can be microcrystalline cellulose,
chitosan, starches, polysaccharides, and the like. Compositions for administration
as dry powder may also contain one or more excipients usually included in such compositions,
for example, mucoadhesive agents, bulking agents, and agents to deliver appropriate
powder flow and size characteristics. Bulking and powder flow and size agents may
include mannitol, sucrose, trehalose, and xylitol.
[0055] In one embodiment, the vaccine formulation contains one or more composite VLPs as
the immunogen, an adjuvant such as MPL®, squalene, or MF59®, a biopolymer such as
chitosan or GelSite® to promote adhesion to mucosal surfaces, and bulking agents such
as mannitol and sucrose.
[0056] For example, a vaccine may be formulated as 10 mg of a dry powder containing one
or more composite VPLs as discussed herein, such as the GII.4 composite VPL, MPL®
adjuvant, chitosan mucoadhesive, and mannitol and sucrose as bulking agents and to
provide proper flow characteristics. The formulation may comprise about 7.0 mg (25
to 90% w/w range) chitosan, about 1.5 mg mannitol (0 to 50% w/w range), about 1.5
mg sucrose (0 to 50% w/w range), about 25 µg MPL® (0.1 to 5% w/w range), and about
100 µg composite VLP antigen (0.05 to 5% w/w range).
[0057] Composite VLPs/antigens may be present in a concentration of from about 0.01% (w/w)
to about 80% (w/w). In one embodiment, VLPs can be formulated at dosages of about
5 µg, about 15 µg, about 25 µg, about 50 µg, about 100 µg, about 200 µg, about 500
µg, and about 1 mg per 10 mg dry powder formulation (0.05, 0.15, 0.25, 0.5, 1.0,2.0,
5.0, and 10.0% w/w) for administration into both nostrils (10 mg per nostril) or about
10 µg, about 30 µg, about 50 µg, about 100 µg, about 200 µg, about 400 µg, about 1
mg, and about 2 mgs (0.1, 0.3, 0.5, 1.0, 2.0, 4.0, 10.0 and 20.0% w/w) per 20 mg dry
powder formulation for administration into one nostril. The formulation may be given
in one or both nostrils during each administration. There may be a booster administration
1 to 12 weeks after the first administration to improve the immune response. The content
of each VLP/antigen in the vaccine and antigenic formulations may be in the range
of 1 µg to 100 mg, preferably in the range 1-1000 µg, more preferably 5-500 µg, most
typically in the range 10-200 µg. Total VLP/antigen administered at each dose can
be either about 10 µg, about 30 µg, about 200 µg, about 250 µg, about 400 µg, about
500 µg, or about 1000 µg. The total vaccine dose can be administered into one nostril
or can be split in half for administration to both nostrils. Dry powder characteristics
are such that less than 10% of the particles are less than 10 µm in diameter. Mean
particle sizes range from 10 to 500 µm in diameter.
[0058] In another embodiment of the invention, the dry powder formulation may be in combination
with one or more devices for administering one or more doses of the formulation. Such
a device may be a single-use nasal administrative device. In another embodiment, one
or more doses are unit doses.
[0059] In some embodiments, the antigenic and vaccine formulations are liquid formulations
for subsequent administration to a subject. A liquid formulation intended for intranasal
administration would comprise composite VLP/antigen(s), adjuvant, and a delivery agent
such as chitosan. Liquid formulations for parenteral (
e.g., subcutaneous, intradermal, or intramuscular (i.m.)) administration would comprise
composite VLP/antigen(s), adjuvant, and a buffer, without a delivery agent (
e.g., chitosan).
[0060] Preferably the antigenic and vaccine formulations hereinbefore described are lyophilized
and stored anhydrous until they are ready to be used, at which point they are reconstituted
with diluent. Alternatively, different components of the composition may be stored
separately in a kit (any or all components being lyophilized). The components may
remain in lyophilized form for dry formulation or be reconstituted for liquid formulations,
and either mixed prior to use or administered separately to the patient. For dry powder
administration, the vaccine or antigenic formulation may be preloaded into an intranasal
delivery device and stored until use. Preferably, such intranasal delivery device
would protect and ensure the stability of its contents.
[0061] The invention also encompasses compositions comprising one or more of the immunogenic
nucleic acids, polypeptides, and/or VLPs, described herein. Different polypeptides,
including composite polypeptides and capsid polypeptides or fragments thereof may
be mixed together in a single formulation. Within such combinations, an antigen of
the immunogenic composition may be present in more than one polypeptide, or multiple
epitope polypeptide.
[0062] The immunogenic compositions may comprise a mixture of composite polypeptides and
nucleic acids encoding composite polypeptides, which in turn may be delivered using
the same or different vehicles. Antigens may be administered individually or in combination,
in
e.g., prophylactic (
i.e., to prevent infection) or therapeutic (to treat infection) immunogenic compositions.
The immunogenic composition may be given more than once (
e.g., a "prime" administration followed by one or more "boosts") to achieve the desired
effects. The same composition can be administered in one or more priming and one or
more boosting steps. Alternatively, different compositions can be used for priming
and boosting.
[0063] The present invention also contemplates a method of inducing protective immunity
to a viral infection in a subject comprising administering any of the vaccine formulations
described herein. In one embodiment, the viral infection is a Norovirus infection.
In another embodiment, the vaccine formulation confers protection from one or more
symptoms of Norovirus infection.
[0064] The present invention also provides a method for making a VLP comprising a composite
polypeptide. In one embodiment, the method comprises aligning amino acid sequences
of capsid proteins from two or more circulating strains of a non-enveloped virus;
determining a consensus sequence from said aligned amino acid sequences; preparing
a composite sequence based on said consensus sequence that contains at least one different
amino acid as compared to each of the capsid sequences of said two or more circulating
strains; and expressing said composite sequence in a host cell, thereby producing
a virus-like particle. In another embodiment, the composite sequence contains at least
three different amino acids as compared to each of the capsid sequences of said two
or more circulating strains. In another embodiment, the composite sequence contains
at least five different amino acids as compared to each of the capsid sequences of
said two or more circulating strains. In yet another embodiment, the composite sequence
contains at least nine different amino acids as compared to each of the capsid sequences
of said two or more circulating strains. In some embodiments, the consensus sequence
may be determined from aligning nucleotide sequences of capsid proteins from two or
more circulating strains of a non-enveloped virus; and preparing a composite nucleotide
sequence based on said consensus sequence. Non-limiting examples of a non-enveloped
virus suitable for use in the method are Calicivirus, Picornavirus, Astrovirus, Adenovirus,
Reovirus, Polyomavirus, Papillomavirus, Parvovirus, and Hepatitis E virus. In some
embodiments, the non-enveloped virus is a Calicivirus. The Calicivirus may be a Norovirus
or Sapovirus. In another embodiment, the Norovirus is a genogroup I or genogroup II
Norovirus.
[0065] The invention will now be illustrated in greater detail by reference to the specific
embodiments described in the following examples. The examples are intended to be purely
illustrative of the invention and are not intended to limit its scope in any way.
EXAMPLES
Example 1. Design of a Norovirus GII.4 Consensus Gene
[0066] A consensus amino acid sequence for the major capsid protein (VP1) of genogroup II,
genotype 4 (GII.4) Norovirus was determined by homology comparison of two recently
circulating GII.4 Strains, Minerva, AKA 2006-a; and Laurens, AKA 2006-b, with a GII.4
Houston strain obtained in 2002. The alignment of the three different Norovirus GII.4
isolates is shown below. The consensus sequence (SEQ ID NO: 2) determined from the
homology comparison of the three GII.4 strains is shown in Figure 1.
[0067] A composite sequence was derived from the consensus sequence by selecting amino acids
from the Minerva sequence in variable positions of the consensus sequence where all
three strains differed. The chosen amino acids were present in antigenic regions near
to but not including the proposed carbohydrate binding domain. The composite GII.4
sequence was used for the production of a synthetic gene encoding a composite GII.4
Norovirus VP1 protein (SEQ ID NO: 1). The GII.4 composite VP1 amino acid sequence
(GII.4 Comp) is shown in the alignment below as SEQ ID NO: 1 with the amino acid sequences
of the VP1 proteins from Houston, Minerva, and Laurens virus (SEQ ID NOs: 4, 5, and
6, respectively). The DNA sequence encoding the GII.4 composite VP1 (SEQ ID NO: 3)
is shown in Figure 2.

Example 2. Purification of Composite VLPs
[0068] Synthetic gene construct of Norovirus GII.4 composite sequence for capsid domains
described in Example 1 was cloned into recombinant Baculovirus. Infection of insect
cells demonstrated high yield of production of VLP. A 40 mL aliquot of a P2 pFastBac
recombinant baculovirus stock for the composite VLP VP1 gene was processed with a
sucrose gradient to verify the expression and assembly of composite VLPs. The conditioned
media was first layered onto a 30% sucrose cushion and then centrifuged at 140 K x
g to pellet the VLP. The pellet was resuspended, layered onto a sucrose gradient and
then centrifuged at 140 K x g. A visible white layer was observed within the gradient
after centrifugation. 500 µL fractions from the gradient were collected and then analyzed
by SDS-PAGE / Coomassie gel (Figure 3). The expected banding pattern for composite
VLP at ∼56 kDa was observed within the sucrose gradient fractions.
[0069] Using a high pressure liquid chromatography system with a running buffer of 20 mM
Tris 150 mM NaCl pH 7 at a flow rate of 0.5 mL/minutc, a 50 µL aliquot of the composite
expression cell culture supernatant was loaded on to a Superose-6 size exclusion column.
An intact VLP peak was observed at ∼15.3 minutes at 280 nm and 220 nm confirming integrity
of the composite VLPs (Figure 4).
[0070] Composite VLPs were also purified from conditioned media using column chromatography.
Conditioned media was processed by cation exchange chromatography. The cation exchange
elution fraction was further purified by hydrophobic interaction chromatography (HIC).
The HIC elution fraction was concentrated and buffer exchanged by tangential flow
filtration. The final product was sterile filtered and stored at 4°C. 500 ng of the
purified composite VLPs (CM3 lot) was analyzed by silver-stained SDS-PAGE (Figure
5).
[0071] Using a high pressure liquid chromatography system with a running buffer of 20 mM
Tris 150 mM NaCl pH 7 at a flow rate of 1.0 mL/minute, a 50 µL aliquot of the purified
CM3 composite VLPs was loaded on to a Superose-6 size exclusion column. An intact
VLP peak was observed at ∼7.5 minutes at 280 nm confirming integrity of the composite
VLPs (Figure 6).
Example 3. Composite Immunogenicity
[0072] Female C57BL/6 mice approximately 8-10 weeks of age were immunized intraperitoneally
with decreasing concentrations of composite VLP (CVLP) starting with 50µg and decreasing
2 fold to 0.19 µg. The CVLP contained a polypeptide having the sequence of SEQ ID
NO: 1 as described in Example 1. A group of animals immunized with PBS alone was included
as a negative control. Serum samples were collected and analyzed for the presence
of CVLP-specific IgG by ELISA (Figure 7). The results from this experiment indicate
that the linear range of the dose curve is between approximately 6 µg and 0.2 µg.
Doses above 6.25 µg of CVLP do not appear to enhance immune responses in a dose-dependent
manner. The EC
50 value (defined as the effective dose yielding a 50% response) was calculated to be
approximately 1.0µg/mL using Softmax Pro software (Molecular Devices Corporation,
Sunnyvale, CA).
Example 4. Multiple Antigen Effect of Composite VLPs
[0073] Female C57BL/6 mice (8-10 weeks of age) were immunized intraperitoneally with varying
doses of either Norwalk VLP alone (NVLP), composite VLP (CVLP) alone or in combination.
A group of animals immunized with PBS alone was included as a negative control. Serum
samples were collected and analyzed for the presence of antigen-specific IgG by ELISA
(Figures 8 and 9). The results indicate that immunizing with the combination of the
CVLP and NVLP enhances the immune response such that a higher IgG level is achieved
with a lower dose of antigen. For example, immunizing with 1 µg of each NVLP and CVLP
elicits a more robust immune response then administering with either VLP alone. The
antibodies from animals immunized with CVLP did not cross-react with NVLP and vise
versa (data not shown).
Example 5. Composite VLPs Elicit Cross-Reactivite Antibodies
[0074] Female C57/BL6 mice, approximately 10-12 weeks of age, were immunized intraperitoneally
with either 30 µg Houston VLPs or composite VLPs formulated with MPL (20 µg) as an
adjuvant. The composite VLPs contained a polypeptide having the sequence of SEQ ID
NO: 1 as described in Example 1. The mice were bled on day 21 following immunization
and the sera were assayed in an antigen-specific ELISA to determine antibody titers
for composite, Houston, Laurens, and Norwalk VLPs. The data are shown in Figure 10.
Immunization with composite VLP induces a broader response across more serotypes as
evidenced by the greater response to the Laurens strain while maintaining response
to the Houston strain. Immunization with Houston VLPs also induces cross-reactive
antibodies against composite and Laurens but the magnitude of the response is not
as great as that observed with immunization with the composite VLPs. There was no
detectable response to Norwalk VLP, which is a GI.1 Norovirus.
Example 6. Efficacy of Bivalent Vaccine in Rabbits
[0075] A study was performed to evaluate the efficacy of a bivalent Norovirus vaccine comprising
Norovirus GII.4 composite VLPs (CVLPS) as described in Example 2 and Norwalk VLPs
(NVLPs, GI.1). Rabbits were intramuscularly immunized with this bivalent vaccine on
days 0 and 21. VLP doses ranged from 20µg to 0.002µg of each type of VLP and each
vaccine formulation contained 25µg MPL and 250µg AlOH. Serum was collected from each
rabbit on day 28 and VLP-specific IgG was evaluated. Spleens and mesenteric lymph
nodes were collected on day 75 and evaluated for the presence antigen-specific cellular
immunity.
[0076] Serum IgG titers were measured by ELISA using microtiter plates coated with either
NVLP or CVLP as a capture. Titers are expressed as reciprocal dilutions (Figure 11).
Antigen-specific T-cell responsiveness was evaluated by tritiated thymidine incorporation
after a 5-day
in vitro stimulation with 5µg of either NVLP or CVLP (Figure 12). Memory B-cells were evaluated
by VLP-specific ELISPOT and results are expressed as antibody-secreting cells per
million cells (Figure 13).
[0077] The results of this study demonstrate that the IM bivalent norovirus vaccine formulated
with the adjuvants MPL and AlOH elicits high VLP-specific IgG responses, responsive
T-cells and memory B-cells capable of responding to stimulation with both NVLP and
CVLP.
Example 7. High-dose Bivalent Vaccination in Rabbits
[0078] This example outlines experiments designed to determine if high doses of the composite
and Norwalk VLPs in the bivalent vaccine would lead to any adverse events. Rabbits
were intramuscularly immunized with the bivlaent vaccine (see Example 6) on days 0,
14, and 21. VLP doses ranged from 150µg to 5µg of each VLP (Norwalk and composite)
and each formulation contained 50µg MPL and 500µg AlOH. The general health, coat condition,
and injection site of the immunized rabbits were monitored every 12 hours for the
first 72 hours and then daily thereafter. Serum was collected from each rabbit on
day 21 and day 35 and Norwalk VLP (NVLP)-specific (Figure 14) and composite VLP (CVLP)-specific
(Figure 15) IgG and IgA were evaluated. Spleens were also harvested on day 35 and
evaluated for the presence of antigen-specific cellular immunity (Figure 16).
[0079] Serum IgG titers were measured by ELISA using microtiter plates coated with either
NVLP or CVLP as a capture. Titers are expressed as reciprocal dilutions. Antigen-specific
T-cell responsiveness was evaluated by tritiated thymidine incorporation after a 5-day
in vitro stimulation with the indicated antigens (
e.g. composite VLPs, GII.4 (2002) VLPs, GII.4 (2006 VLPs, and Norwalk VLPs).
[0080] The results from this study shows that the Norovirus bivalent vaccine is safe at
the tested doses as evidenced by the fact that all rabbits appeared healthy throughout
the study duration and no injection site reactions were observed. The immune responses
measured from vaccinated rabbits confirm that the bivalent Norovirus vaccine is effective
for eliciting both VLP-specific antibodies as well as VLP-responsive T-cells.
Example 8. Mouse Potency Assay for Norovirus Vaccine Efficacy
[0081] This example outlines the development of a mouse potency assay to evaluate the potency
of the bivalent Norovirus vaccine. Mice were immunized IP on day 0 and 7 with equal
concentrations ranging from 0.002µg to 30µg of Norwalk VLP (NVLP) and composite VLP
(CVLP). Serum was collected from each mouse on day 14 and VLP-specific IgG was evaluated
(Figure 17). The neutralizing activity of the antibodies was also measured by hemagglutination
inhibition assay (HAT) using Type O positive human red blood cells (Figure 18). Only
Norwalk-specific HAI titers could be assessed because the GII.4 genotypes do not hemagglutinate
red blood cells.
[0082] Serum IgG titers were measured by ELISA using microtiter plates coated with either
NVLP or CVLP as a capture. Titers are expressed as reciprocal dilutions. HAI titers
were measured by using a standard hemagglutination assay.
[0083] The results from this study indicate that vaccination with the bivalent Norovirus
vaccine elicits potent and functional IgG titers such that they are capable of inhibiting
hemagglutination of human red blood cells. These results are of particular importance
because they demonstrate that the antibodies elicited in response to the vaccination
have functionality, which may lead to neutralization of the actual virus during an
infection.
Example 9. Chitosan Formulations of a Norovirus Bivalent Vaccine
[0084] A study was performed in rabbits with the bivalent Norovirus VLP vaccine to evaluate
the role of chitosan in this vaccine formulation. The formulation contained equal
amounts of a Norwalk VP1 VLP and a composite GII.4 VLP (see Example 2). Rabbits were
intranasally immunized with dry powder formulations on days 0 and 21. VLP doses ranged
from 150µg to 5µg of each type of VLP and each formulation contained 50µg MPL. Chitosan
concentration was varied for each dose range (7 mg, 0.7 mg and 0 mg) to determine
its role in immunogenicity. Serum was collected from each rabbit and VLP-specific
IgG was evaluated (Figure 19).
[0085] Serum IgG titers were measured by ELISA using microtiter plates coated with VLP as
a capture. Serial dilutions of a proprietary in-house rabbit anti-VLP serum were used
to generate standard curves. Titers are expressed in Units anti-VLP/mL (one Unit is
approximately equal to 1 µg).
[0086] Results from these experiments indicate that chitosan at the highest dose (7 mg)
is required to achieve maximum immunogenicity. The IgG data for the 50µg dose is shown
in Figure 19 and results are represented as U/ml. The IgA antibody response is shown
below in Table 1.
Table 1. Antigen-Specific IgA Responses. |
VLP (µg) |
50 |
50 |
50 |
Chitosan (mg) |
7 |
0.7 |
0 |
Geometric Mean IgA Titers (95% CI) |
770 (474, 1253) |
67 (32, 142) |
83 (38, 179) |
Example 10. Design of a Norovirus GII Consensus Gene
[0087] The methods of the present invention may also be used to generate capsid consensus
sequences amongst Norovirus GII isolates from different GII genotypes, GII.1, GII.2,
GII.3. The following alignment was generated from VP1 sequences from three different
Norovirus GII isolates. The consensus sequence (SEQ ID NO: 7) determined from the
homology comparison of the three GII strains is shown in Figure 20.
[0088] A composite sequence is derived from the consensus sequence by selecting amino acids
from a sequence of one of the strains for variable positions of the consensus sequence
where two or more strains differ. Preferably the sequence from which amino acids are
selected is a recently circulating strain, or a strain that is more commonly associated
with disease or more commonly occurring amongst the strains being evaluated. In this
Example, amino acids were selected from the Snow Mountain sequence at variable positions
of the consensus sequence at which all three strains differed to generate a composite
VP1 GII sequence. The composite GII sequence is used for production of a synthetic
gene encoding a composite GII VP1 protein for induction of cross-immunity amongst
GII Norovirus isolates.
[0089] The composite GII VP1 amino acid sequence (Composite) is shown in the alignment below
as SEQ ID NO: 11 with the amino acid sequences of the VP1 proteins from GII.1 (Accession
Number: AAL13001), GII.2 Snow Mountain (Accession Number: AAB61685), and GII.3 virus
(Accession Number: AAL12998) (SEQ ID NOs: 8, 9, and 10, respectively).

Example 11. Design of a Norovirus GI Consensus Gene
[0090] The methods of the present invention may also be used to generate capsid consensus
sequences amongst Norovirus GI isolates. The following alignment was generated from
VP1 sequences from three different Norovirus GI isolates. The consensus GI sequence
(SEQ ID NO: 12) determined from the homology comparison of the three GI strains is
shown in Figure 21.
[0091] A composite sequence is derived from the consensus sequence by selecting amino acids
from a sequence of one of the strains for variable positions of the consensus sequence
where two or more strains differ. Preferably the sequence from which amino acids are
selected is a recently circulating strain, or a strain that is more commonly associated
with disease or more commonly occurring amongst the strains being evaluated. In this
Example, amino acids were selected from the Southampton sequence at variable positions
of the consensus sequence at which all three strains differed to generate a composite
VP1 GI sequence. The composite GI sequence is used for production of a synthetic gene
encoding a composite GI VP1 protein for induction of cross-immunity amongst GI Norovirus
isolates.
[0092] The composite GI VP1 amino acid sequence (Composite) is shown in the alignment below
as SEQ ID NO: 16 with the amino acid sequences of the VP1 proteins from Norwalk virus
(Accession Number: M87661), Southampton (Accession Number: Q04542), and Chiba virus
(Accession Number: BAB18267) (SEQ ID NOs: 13, 14, and 15, respectively).

Example 12. Design of a Human Papillomavirus Consensus Gene for L1
[0093] The methods of the present invention may also be used to generate consensus sequences
amongst other non-enveloped viruses. The following alignment was generated from three
Human Papillomavirus (HPV): HPV-11, HPV-16, and HPV-18. The consensus L1 capsid protein
sequence (SEQ ID NO: 17) determined from the homology comparison of the three HPV
strains is shown in Figure 22.
[0094] A composite sequence is derived from the consensus sequence by selecting amino acids
from a sequence of one of the strains for variable positions of the consensus sequence
where two or more strains differ. Preferably the sequence from which amino acids are
selected is a recently circulating strain, or a strain that is more commonly associated
with disease or more commonly occurring amongst the strains being evaluated. In this
Example, amino acids were selected from the HPV-18 sequence at variable positions
of the consensus sequence at which all three strains differed to generate a composite
L1 HPV sequence. The composite HPV sequence is used for production of a synthetic
gene encoding a composite L1 polypeptide for induction of cross-immunity amongst a
variety of HPV strains.
[0095] The composite HPV L1 amino acid sequence (Composite) is shown in the alignment below
as SEQ ID NO: 21 with the amino acid sequences of the L1 proteins from HPV-11, HPV-16,
and HPV-18 virus (SEQ ID NOs: 18, 19, and 20, respectively).

Example 13. Dose Escalation Safety Study of Composite VLP Vaccine Formulation in Humans
[0096] A double-blind, controlled, dose-escalation phase 1 study of the safety and immunogenicity
of a Norovirus vaccine is conducted. The vaccine consists of composite Norovirus virus-like
particles (VLPs) in a dry powder matrix designed for intranasal administration. The
composite VLPs contain a polypeptide having the amino acid sequence of SEQ ID NO:
1. Vaccinccs include healthy adult volunteers who arc H type 1 antigen secretors.
The rationale for enrollment of H type 1 antigen secretors is that H type 1 antigen
secretors are susceptible to Norovirus infections while non-secretors are resistant.
As a control, 2 additional volunteers at each dosage level receive matrix alone. The
dry powder matrix includes 25 µg MPL® adjuvant, 7 mg chitosan, 1.5 mg mannitol, and
1.5 mg sucrose. Volunteers are dosed on days 0 and 21 and are required to keep a 7-day
diary of symptoms after each dose. Blood for serology, antibody secreting cells (ASC),
and stool and saliva samples for mucosal antibody evaluation are collected.
[0097] The components of the vaccine are listed in Table 2. The vaccine is packaged in an
intranasal delivery device. Single administrations of the composite VLP vaccine are
packaged in a single dose Bcspak (Milton Keynes, UK) UniDosc DP dry powder intranasal
delivery device. Each device delivers 10 mg of the dry powder vaccine formulation.
Each dose of vaccine consists of two delivery devices, one in each nostril. The total
vaccine dose is 20 mg of dry power. The formulation of Adjuvant/Excipient is the same
as the composite VLP vaccine except that no composite VLP antigen is included in the
formulation. The formulation of the Adjuvant/Excipient (also referred to as dry powder
matrix) is summarized in Table 3.
Table 2. Composite VLP Vaccine Composition
Component |
Molecular class |
Quantity per 10 mg dry powder |
% of Final Formulation |
Composite VLP |
Recombinant protein |
2.5, 7.5 or 25, 50 µg |
0.025, 0.075, 0.25, or 0.50% |
Monophosphoryl Lipid A |
Phospholipid |
25 µg |
0.25% |
Chitosan |
Polysaccharide |
7.0 mg |
70% |
Mannitol |
Sugar |
1.5 mg |
15%* |
Sucrose |
Sugar |
1.5 mg |
15% |
Table 3. Adjuvant/Excipient (dry powder matrix)
Component |
Molecular class |
Quantity per 10 mg dry powder |
% of Final Formulation |
Monophosphoryl Lipid A |
Phospholipid |
25 µg |
0.25% |
Chitosan |
Polysaccharide |
7.0 mg |
70% |
Mannitol |
Sugar |
1.5 mg |
15% |
Sucrose |
Sugar |
1.5 mg |
15% |
[0098] Specifically, the dose escalation of the vaccine is conducted as follows: After appropriate
screening for good health, a group of 3 volunteers is randomized to receive either
5 µg of the composite VLP vaccine plus dry powder matrix (n=2) or dry powder matrix
alone (n=1) by the intranasal route. These 3 volunteers are followed for safety for
21 days, and the Independent Safety Monitor (ISM) reviews their safety data. After
approval of the ISM, these individuals receive their second dose of vaccine or matrix
on day 21, and 4 additional volunteers are randomized to receive either 5 µg VLP protein
plus dry powder matrix (n=3) or matrix alone (n=1) by the intranasal route. The ISM
reviews the safety data from this second group and after approval of the ISM, the
second intranasal dose is given 21 days after the first dose. Volunteers keep a 7-day
diary of symptoms after each dose. After the ISM determines that escalation to the
next higher dose is acceptable, another group of 7 volunteers is randomized to receive
either the composite VLP vaccine containing 15 µg VLP protein (n=5) or dry powder
matrix alone (n=2) by the intranasal route at day 0 and day 21. Again, 7-day symptom
diaries are recorded and reviewed by the ISM before the second dose at day 21. Finally,
after review of the safety data from the first two dosage cohorts, the ISM determines
if dose escalation is acceptable and a final group of 7 volunteers is randomized to
receive either the composite VLP vaccine containing 50 µg VLP protein (n=5) or dry
powder matrix alone (n=2) by the intranasal route on day 0 and day 21. Again, the
ISM reviews seven-day symptom diaries and other safety data before the second dose
at day 21.
[0099] The volunteers keep a daily diary of symptoms (including local symptoms such as:
nasal discharge, nasal pain/discomfort, nasal congestion, runny nose, nasal itching,
nose bleed, headache and systemic symptoms such as: daily oral temperature, myalgia,
nausea, vomiting, abdominal cramps, diarrhea, and loss of appetite) for 7 days after
receiving the composite VLP vaccine or dry powder matrix alone. Interim medical histories
are obtained at each follow-up visit (days 7+1, 21±2, 28±2, 56±2 and 180+14); volunteers
are queried about interim illness, medications, and doctor's visits. Volunteers are
asked to report all serious or severe adverse events including events that are not
solicited during follow up visits. Volunteers have CBC and serum creatinine, glucose,
AST, and ALT assessed on days 7 and 28 (7 days after each immunization) and, if abnormal,
the abnormal laboratory test is followed until the test becomes normal or stabilizes.
[0100] Blood is collected before immunization and on days 7±1, 21±2, 28±2, 56+2, and 180+14
to measure serum antibodies to the composite VLP vaccine by enzyme-linked immunosorbent
assays (ELISA). Before and on day 7 after administration of each dose of vaccine or
dry powder matrix alone peripheral blood lymphocytes are collected to detect antibody
secreting cells by ELISPOT assay. Before and on days 21±2, 56±2 and 180±14 after vaccination,
whole blood is obtained to separate cells and freeze for future studies of cell mediated
immunity, including cytokine production in response to composite VLP antigen, and
lymphoproliferation. Whole stool samples are collected before immunization and on
days 7+1, 21+2, 28±2, 56±2, and day 180+14 for anti-composite VLP sIgA screening.
Saliva is collected with a commercially available device (Salivette, Sarstedt, Newton,
NC) before immunization and on days 7±1, 21±2, 28+2, 56+2, and if positive for mucosal
antibodies at day 56, a day 180+14 sample is collected and screened for anti-composite
VLP sIgA. Finally blood from volunteers receiving the highest dose of composite VLPs
(50 µg, third cohort described above) is screened for memory B-cells on days 0, 21,
56 and 180.
[0101] The following methods are used to analyze the blood, stool, and saliva samples collected
from immunized individuals or individuals receiving the dry powder matrix alone:
A. Serum Antibody Measurements By ELISA
[0102] Twenty mL of blood are collected before and at multiple time points after vaccination
for measurement of antibodies to the composite VLP by ELISA, using purified recombinant
composite VLPs as target antigen to screen the coded specimens. Briefly, composite
VLPs in carbonate coating buffer pH 9.6 are used to coat microtiter plates. Coated
plates are washed, blocked, and incubated with serial two-fold dilutions of test serum
followed by washing and incubation with enzyme-conjugated secondary antibody reagents
specific for human IgG, IgM, and IgA. Appropriate substrate solutions are added, color
developed, plates read, and the IgG, IgM, and IgA endpoint titers are determined in
comparison to a reference standard curve for each antibody class. A positive response
is defined as a 4-fold rise in titer after vaccination.
B. Antibody Secreting Cell Assays
[0103] Peripheral blood mononuclear cells (PMBCs) are collected from thirty mL of heparinized
blood for ASC assays to dctcct cells sccrcting antibodies to composite VLPs. These
assays arc performed on days 0, 7±1, 21±2, and 28±2 after administration of the composite
VLP vaccine or dry powder matrix alone. A positive response is defined as a post-vaccination
ASC count per 10
6 PBMCs that is at least 3 standard deviations (SD) above the mean pre-vaccination
count for all subjects (in the log metric) and at least 8 ASC spots, which corresponds
to the mean of medium-stimulated negative control wells (2 spots) plus 3 SD as determined
in similar assays.
C. Measurement of Composite VLP-Specific Memory B-Cells
[0104] Heparinized blood is collected from cohort 3 (30 mL days 0 and 21, 50 mL days 56
and 180) to measure memory B cells on days 0, 21, 56 and 180 after vaccination using
an ELISpot assay preceded by an
in vitro antigen stimulation. A similar assay was successfully used to measure frequency of
memory B cells elicited by Norwalk VLP formulations in rabbits (See
WO 2008/042789, herein incorporated by reference in its entirety). Peripheral blood mononuclear
cells (5x10
6 cells/mL, 1 mL/well in 24-well plates) are incubated for 4 days with composite VLP
antigen (2-10 µg/mL) to allow for clonal expansion of antigen-specific memory B cells
and differentiation into antibody secreting cells. Controls include cells incubated
in the same conditions in the absence of antigen and/or cells incubated with an unrelated
antigen. Following stimulation, cells are washed, counted and transferred to ELISpot
plates coated with composite VLP. To determine frequency of VLP-specific memory B
cells per total Ig-secreting B lymphocytes, expanded B cells are also added to wells
coated with anti-human IgG and anti-human IgA antibodies. Bound antibodies are revealed
with HRP-labeled anti-human IgG or anti-human IgA followed by True Blue substrate.
Conjugates to IgA and IgG subclasses (IgA1, IgA2 and IgG1-4) may also be used to determine
antigen-specific subclass responses which may be related with distinct effector mechanisms
and locations of immune priming. Spots are counted with an ELISpot reader. The expanded
cell populations for each volunteer are examined by flow cytometry to confirm their
memory B cell phenotype, i.e. CD19+, CD27+, IgG+, IgM+, CD38+, IgD-.
D. Cellular Immune Responses
[0105] Heparinized blood (50 mL cohorts 1 and 2, 25 mL cohort 3) is collected as coded specimens
and the PBMCs isolated and cryopreserved in liquid nitrogen for possible future evaluation
of cell-mediated immune (CMI) responses to composite VLP antigen. Assays that may
be performed include PBMC proliferative and cytokine responses to composite VLP antigen
and can be determined by measuring interferon (IFN)-γ and interleukin (IL)-4 levels
according to established techniques.
E. Collections Of Stool And Saliva For Anti-Composite VLP sIgA
[0106] Anti-composite VLP IgA is measured in stool and saliva samples. Saliva specimens
are treated with protease inhibitors (i.e. AEBSF, leupeptin, bestatin, and aprotinin)
(Sigma, St. Louis, MO), stored at -70 °C, and assayed using a modification of a previously
described assay (
Mills et al. (2003) Infect. Immun. 71: 726-732). Stool is collected on multiple days after vaccination and specimens stored at -70
°C until analysis. The specimens are thawed, and protease inhibitor buffer added to
prepare a 10 % w/v stool suspension. Stool supernatants are assayed for composite
VLP-specific mucosal IgA by ELISA, as described below.
[0107] Approximately 2-3 mL of whole saliva is collected before and at multiple time points
after vaccination. Saliva is collected by a commercially available device (Salivette,
Sarstedt, Newton, NC), in which a Salivette swab is chewed or placed under the tongue
for 30-45 seconds until saturated with saliva. Saliva is collected from the swab by
centrifugation.
F. Measurement Of Anti-Composite VLP In Stool And Saliva
[0108] ELISAs, utilizing plates coated with either anti-human IgA antibody reagents or target
composite VLP antigen coatings, are performed to determine total IgA and to titer
the specific anti-VLP IgA responses for each specimen. Total or specific IgA are revealed
with HRP-labeled anti-human IgA as described above. An internal total IgA standard
curve is included to quantify the IgA content. Response is defined as a 4-fold rise
in specific antibody.
Example 14. Safety and Immunogenicity Study of Two Dosages of Intranasal Composite
VLP Vaccine in Humans
[0109] A randomized, double blind study in healthy adults is conducted to compare the safety
and immunogenicity of two dosage levels of a composite Norovirus virus-like particle
(VLP) vaccine with adjuvant/excipients and placebo controls (empty device). The vaccine
consists of composite Norovirus virus-like particles (VLPs) in a dry powder matrix
designed for intranasal administration as described in Example 13. Vaccinees include
healthy adult volunteers who are H type 1 antigen secretors. The human volunteers
are randomly assigned to one of four groups and each group receives one of the following
treatments: a 50 µg dose of the composite VLP vaccine, a 100 µg dose of the composite
VLP vaccine, the adjuvant/excipient, or placebo. Volunteers are dosed on days 0 and
21 and are required to keep a 7-day diary of symptoms after each dose. Blood for serology,
antibody secreting cells (ASC), and stool and saliva samples for mucosal antibody
evaluation are collected.
[0110] The components of the vaccine are listed in Table 2 in Example 13. The vaccine is
packaged in an intranasal delivery device. Single administrations of the composite
VLP vaccine are packaged in a single dose Bespak (Milton Keynes, UK) UniDose DP dry
powder intranasal delivery device. Each device delivers 10 mg of the dry powder vaccine
formulation. Each dose of vaccine consists of two delivery devices, one in each nostril.
The total vaccine dose is 20 mg of dry power. Therefore, the 50 µg vaccine dose consists
of two devices that each deliver 10 mg of dry powder formulation, wherein each 10
mg of dry powder formulation consists of 25 µg of composite VLP, 25 µg MPL® adjuvant,
7 mg chitosan, 1.5 mg mannitol, and 1.5 mg sucrose. Similarly, the 100 µg vaccine
dose consists of two devices that each deliver 10 mg of dry powder formulation, wherein
each 10 mg of dry powder formulation consists of 50 µg of composite VLP, 25 µg MPL®
adjuvant, 7 mg chitosan, 1.5 mg mannitol, and 1.5 mg sucrose. The formulation of Adjuvant/Excipient
is the same as the composite VLP vaccine except that no composite VLP antigen is included
in the formulation. The formulation of the Adjuvant/Excipient (also referred to as
dry powder matrix) is summarized in Table 3 in Example 13. The placebo group receives
two empty devices.
[0111] The volunteers keep a daily diary of symptoms (including local symptoms such as:
nasal discharge, nasal pain/discomfort, nasal congestion, runny nose, nasal itching,
nose bleed, headache and systemic symptoms such as: daily oral temperature, myalgia,
nausea, vomiting, abdominal cramps, diarrhea, and loss of appetite) for 7 days after
receiving either one of two doses of the composite VLP vaccine, dry powder matrix
alone, or the placebo. Interim medical histories are obtained at each follow-up visit
(days 7+1, 21+2, 28+2, 56+2 and 180+14); volunteers are queried about interim illness,
medications, and doctor's visits. Volunteers are asked to report all serious or severe
adverse events including events that arc not solicited during follow up visits. Volunteers
have CBC and serum creatinine, glucose, AST, and ALT assessed on days 7 and 28 (7
days after each immunization) and, if abnormal, the abnormal laboratory test is followed
until the test becomes normal or stabilizes.
[0112] Blood is collected before immunization and on days 7+1, 21+2, 28+2, 56+2, and 180+14
to measure serum antibodies to the composite VLP vaccine by enzyme-linked immunosorbent
assays (ELISA). Before and on day 7 after administration of each dose of vaccine,
dry powder matrix alone, or placebo, peripheral blood lymphocytes are collected to
detect antibody secreting cells by ELISPOT assay. Before and on days 21+2, 56+2 and
180+14 after vaccination, whole blood is obtained to separate cells and freeze for
future studies of cell mediated immunity, including cytokine production in response
to composite VLP antigen, and lymphoproliferation. Whole stool samples are collected
before immunization and on days 7+1, 21+2, 28+2, 56+2, and day 180+14 for anti-composite
VLP sIgA screening. Saliva is collected with a commercially available device (Salivette,
Sarstedt, Newton, NC) before immunization and on days 7+1, 21+2, 28+2, 56+2, and if
positive for mucosal antibodies at day 56, a day 180+14 sample is collected and screened
for anti-composite VLP sIgA. Blood is also screened for memory B-cells on days 0,
21, 56 and 180.
[0113] Methods used to analyze the blood, stool, and saliva samples collected from immunized
individuals, or individuals receiving the dry powder matrix alone or placebo are described
in detail in Example 13.
Example 15. Experimental Human Challenge Study with Infectious Norovirus Following
Vaccination with Composite Norovirus VLP Vaccine
[0114] A multi-site, randomized, double-blind, placebo-controlled Phase 1-2 challenge study
is conducted in 80 human volunteers immunized with the composite Norovirus VLP vaccine.
Eligible subjects include those 18-50 years of age, in good health, who express the
H type-1 oligosaccharide (as measured by positive salivary secretor status) and who
are other than Type B or AB blood type. Subjects who arc non H type-1 sccrctors or
who have Type B or AB blood arc reported to be more resistant to infection with Norwalk
virus and are excluded from the study. At least 80% of volunteers arc expected to
be eligible based on these two criteria.
[0115] Following screening, eligible volunteers who meet all acceptance criteria are randomized
(1:1) into one of two equal sized cohorts with approximately 40 volunteers in each
cohort. Cohort 1 is immunized with composite VLP and cohort 2 receives placebo. Volunteers
are immunized with 10 mg composite VLP vaccine in each nostril (20 mg total dry powder)
or placebo. Each 10 mg of composite VLP vaccine contains 50 µg of Composite VLP, 7
mg chitosan, 25 µg MPL®, 1.5 mg of sucrose and approximately 1.5 mg of mannitol. Thus,
each volunteer in cohort 1 receives a total dosage of 100 µg of composite VLP antigen
at each immunization. Volunteers receive vaccine or placebo on study days 0 and 21.
[0116] The safety of the composite virus VLP vaccine compared to placebo is assessed. Volunteers
keep a diary for 7 days following each immunization with the vaccine or placebo to
document the severity and duration of adverse events. Serious adverse events (SAEs)
and the occurrence of any significant new medical conditions is followed for 6 months
after the last dose of vaccine or placebo and for 4 months after the challenge with
infectious virus.
[0117] All volunteers are challenged with infectious Norovirus between 21 to 42 days after
the second dose of vaccine or placebo (between study days 42 and 56). Each volunteer
rcccivcs at or > than the 50% Human Infectious Dose (HID 50),
i.e. the amount of infectious virus that is expected to cause disease in at least 50%
of volunteers in the placebo group. The HID 50 is between about 48 and about 480 viral
equivalents of the challenge virus strain. The challenge Norovirus is mixed with sterile
water and given orally. The inoculation is preceded by ingestion of 500 mg sodium
bicarbonate in water, to prevent breakdown of the virus by stomach acid and pepsin.
A second ingestion of sodium bicarbonate solution (500 mg sodium bicarbonate in water)
is taken 5 minutes after oral inoculation of the infectious virus. The volunteers
remain at the challenge facility for at least 4 days and at least 18 hours after symptoms/signs
of acute gastroenteritis (vomiting, diarrhea, loose stool, abdominal pain, nausea,
and fever) are absent.
[0118] Several metrics are monitored to determine the efficacy of the composite VLP vaccine
in preventing or reducing symptoms/signs of acute gastroenteritis induced by the viral
challenge. All volunteers record their clinical symptoms of acute gastroenteritis
and these symptoms are documented by the research staff at the study sites. Disease
symptoms/signs from cohort 1 receiving the vaccine are compared to cohort 2 placebo
recipients.
[0119] Sera and stool samples are routinely collected from all volunteers prior to immunization
with the vaccine or placebo, and after challenge. Serum samples are analyzed by ELISA
for IgA and IgG, titers against the challenge VLPs. The challenge virus antigen and
challenge virus RNA are tested in stool samples by ELISA and PCR, respectively, which
indicate the presence of virus, the amount of virus shed from the intestines, and
the duration of viral shedding. Subjects who become ill after challenge, are subject
to additional laboratory studies including serum chemistries, BUN, creatinine, and
liver function tests until symptoms/signs resolve.
[0120] Results from the vaccine group (cohort 1) and the placebo group (cohort 2) are compared
to assess the protective efficacy of the vaccine against Norovirus disease overall
(primary endpoint), and/or its efficacy in ameliorating the symptoms/signs (severity
and # of days of illness) and/or the reduction of the presence, the amount and/or
the duration of virus shedding (secondary endpoints).
[0121] The present invention is not to be limited in scope by the specific embodiments described
which are intended as single illustrations of individual aspects of the invention,
and functionally equivalent methods and components are within the scope of the invention.
Indeed, various modifications of the invention, in addition to those shown and described
herein, will become apparent to those skilled in the art from the foregoing description
and accompanying drawings using no more than routine experimentation. Such modifications
and equivalents are intended to fall within the scope of the appended claims.
[0122] All publications, patents and patent applications mentioned in this specification
are herein incorporated by reference into the specification to the same extent as
if each individual publication, patent or patent application was specifically and
individually indicated to be incorporated herein by reference.
[0123] Citation or discussion of a reference herein shall not be construed as an admission
that such is prior art to the present invention.
[0124] The current disclosure contains,
inter alia, the following items:
- 1. A virus-like particle comprising at least one polypeptide having a composite amino
acid sequence, wherein said composite amino acid sequence is derived from a consensus
sequence representing the capsid proteins of two or more circulating strains of a
non-cnvclopcd virus, and wherein the at least one polypeptide forms a virus-likc particle
when expressed in a host cell and contains at least 1 different amino acid as compared
to each of the capsid sequences of said two or more circulating strains.
- 2. The virus-likc particle of item 1, wherein the virus-likc particle has antigenic
properties of the two or more circulating strains of the non-enveloped virus.
- 3. The virus-likc particle of item 1, wherein the virus-like particle provides at
least a two-fold increase in antisera cross-reactivity to one or more circulating
strains of the non-enveloped virus as compared to the antisera cross-reactivity obtained
by immunizing with a virus-like particle containing only protein from said one or
more circulating strains.
- 4. The virus-like particle of item 1, wherein the composite sequence contains at least
3 different amino acids compared to the capsid sequence of one or more circulating
strains of the non-enveloped virus.
- 5. The virus-like particle of item 1, wherein the composite sequence contains at least
5 different amino acids compared to the capsid sequence of one or more circulating
strains of the non-enveloped virus.
- 6. The virus-like particle of item 1, wherein the composite sequence contains at least
9 different amino acids compared to the capsid sequence of one or more circulating
strains of the non-enveloped virus.
- 7. The virus-like particle of item 1, wherein the consensus sequence is SEQ ID NO:
2.
- 8. The virus-like particle of item 1, wherein the non-enveloped virus is selected
from the group consisting of Calicivirus, Picornavirus, Astrovirus, Adenovirus, Reovirus,
Polyomavirus, Papillomavirus, Parvovirus, and Hepatitis E virus.
- 9. The virus-like particle of item 8, wherein the non-enveloped virus is a Calicivirus.
- 10. The virus-like particle of item 9, wherein the Calicivirus is a Norovirus or Sapovirus.
- 11. The virus-like particle of item 10, wherein the Norovirus is a genogroup I Norovirus.
- 12. The virus-like particle of item 10, wherein the Norovirus is a genogroup II Norovirus.
- 13. The virus-like particle of item 12, wherein the consensus sequence is derived
from genogroup II, genotype 4 Norovirus strains.
- 14. The virus-like particle of item 13, wherein the genogroup II, genotype 4 Norovirus
strains are selected from Houston strain, Minerva strain, and Laurens strain.
- 15. The virus-like particle of item 14, wherein the composite sequence is SEQ ID NO:
1.
- 16. The virus-like particle of item 10, wherein the consensus sequence is derived
from Norovirus strains from at least two different genotypes within a genogroup.
- 17. The virus-like particle of item 16, wherein the consensus sequence is derived
from genogroup II, genotype 2 and genogroup II, genotype 4 Norovirus strains.
- 18. The virus-like particle of item 10, wherein the consensus sequence is derived
from Norovirus strains from at least two different genogroups.
- 19. The virus-like particle of item 18, wherein the consensus sequence is derived
from gcnogroup I, genotype 1 and genogroup II, genotype 4 Norovirus strains.
- 20. The virus-like particle of item 10, further comprising a capsid protein from a
second Norovirus.
- 21. The virus-like particle of item 20, wherein the second Norovirus is a genogroup
I or genogroup II Norovirus.
- 22. The virus-like particle of item 21, wherein the capsid protein from the second
Norovirus is a VP1 protein from a genogroup I Norovirus.
- 23. The virus-like particle of item 9, further comprising a second polypeptide having
a second composite amino acid sequence, wherein said second composite amino acid sequence
is derived from a consensus sequence representing the capsid proteins of two or more
circulating strains of a second Calicivirus and contains at least 1 different amino
acid as compared to each of the capsid sequences of said two or more circulating strains
of the second Calicivirus.
- 24. The virus-like particle of item 23, wherein the composite sequence contains 5-50
different amino acids compared to the capsid sequence of one or more circulating strains
of the second Calicivirus.
- 25. The virus-like particle of item 23, wherein the second Calicivirus is a Norovirus.
- 26. The virus-like particle of item 25, wherein the Norovirus is a genogroup I Norovirus.
- 27. The virus-like particle of item 26, wherein the genogroup I Norovirus is selected
from the group consisting of Norwalk virus, Southampton virus, Hesse virus, and Chiba
virus.
- 28. The virus-like particle of item 23, wherein the virus-like particle has antigenic
properties of the two or more circulating strains of the first Calicivirus and the
two or more circulating strains of the second Calicivirus.
- 29. An isolated polypeptide or fragment thereof having a composite amino acid sequence,
wherein said composite amino acid sequence is derived from a consensus sequence representing
the capsid proteins of two or more circulating strains of a non-enveloped virus, and
wherein the polypeptide contains at least 1 different amino acid as compared to each
of the capsid sequences of said two or more circulating strains.
- 30. The isolated polypeptide of item 29, wherein the composite sequence contains at
least 3 different amino acids compared to the capsid sequence of one or more circulating
strains of the non-enveloped virus.
- 31. The isolated polypeptide of item 29, wherein the composite sequence contains 5-50
different amino acids compared to the capsid sequence of one or more circulating strains
of the non-enveloped virus.
- 32. The isolated polypeptide of item 29, wherein the consensus sequence is SEQ ID
NO: 2.
- 33. The isolated polypeptide of item 29, wherein said non-enveloped virus is a Calicivirus.
- 34. The isolated polypeptide of item 33, wherein said Calicivirus is a Norovirus or
Sapovirus.
- 35. The isolated polypeptide of item 34, wherein said Norovirus is a genogroup I or
genogroup II Norovirus, or combinations thereof.
- 36. The isolated polypeptide of item 35, wherein the isolated polypeptide has the
amino acid sequence of SEQ ID NO: 1.
- 37. An isolated nucleic acid encoding the polypeptide of item 29.
- 38. The isolated nucleic acid of item 37, wherein the nucleic acid has the sequence
of SEQ ID NO: 3.
- 39. A vector comprising the isolated nucleic acid of item 37.
- 40. A host cell comprising the vector of item 39.
- 41. A vaccine formulation comprising the virus-like particle of item 1, item 20, or
item 23.
- 42. A vaccine formulation comprising the virus-like particle of item 1 and a second
virus-like particle, wherein said second virus-like particle comprises a capsid protein
from a Norovirus.
- 43. The vaccine formulation of item 42, wherein said Norovirus is a gcnogroup I or
gcnogroup IINorovirus.
- 44. The vaccine formulation of item 41 further comprising an adjuvant.
- 45. The vaccine formulation of item 44, wherein the adjuvant is selected from the
group consisting of toll-like receptor (TLR) agonists, monophosphoryl lipid A (MPL),
synthetic lipid A, lipid A mimetics or analogs, aluminum salts, cytokines, saponins,
muramyl dipeptide (MDP) derivatives, CpG oligos, lipopolysaccharide (LPS) of gram-negative
bacteria, polyphosphazenes, emulsions, virosomes, cochleates, poly(lactide-co-glycolides)
(PLG) microparticles, poloxamer particles, microparticles, liposomes, oil-in-water
emulsion, MF59, and squalene.
- 46. The vaccine formulation of item 44, further comprising a delivery agent.
- 47. The vaccine formulation of item 46, wherein the delivery agent is a mucoadhesive.
- 48. The vaccine formulation of item 47, wherein the mucoadhesive is selected from
the group consisting of glycosaminoglycans (e.g., chondroitin sulfate, dermatan sulfate
chondroitin, keratan sulfate, heparin, heparan sulfate, hyaluronan), carbohydrate
polymers (e.g., pectin, alginate, glycogen, amylase, amylopectin, cellulose, chitin,
stachyosc, unulin, dextrin, dextran), cross-linked derivatives of poly(acrylic acid),
polyvinyl alcohol, polyvinyl pyrollidone, polysaccharides (including mucin, other
mucopolysaccharides, and GelSite®, a natural acidic polysaccharide extracted from
the aloe plant), polyions, cellulose derivatives (e.g., hydroxypropyl methylcellulose,
carboxymcthylccllulosc), proteins (e.g. lectins, fimbrial proteins), and deoxyribonucleic
acid.
- 49. The vaccine formulation of item 48, wherein the mucoadhesive is a polysaccharide.
- 50. The vaccine formulation of item 49, wherein said polysaccharide is chitosan, chitosan
salt, or chitosan base.
- 51. The vaccine formulation of item 44, wherein the vaccine formulation is a liquid
formulation.
- 52. The vaccine formulation of item 44, wherein the vaccine formulation is a dry powder
formulation.
- 53. The dry powder formulation of item 52 in combination with one or more devices
for administering one or more doses of said formulation.
- 54. The dry powder formulation of item 53, wherein said one or more doses are unit
doses.
- 55. The dry powder formulation of item 53, wherein the device is a single-use nasal
administration device.
- 56. The vaccine formulation of item 41, wherein said formulation is administered to
a subject by a route selected from the group consisting of mucosal, intramuscular,
intravenous, subcutaneous, intradermal, subdermal, and transdermal routes of administration.
- 57. The vaccine formulation of item 56, wherein said mucosal administration is intranasal,
oral, or vaginal.
- 58. The vaccine formulation of item 57, wherein the formulation is in the form of
a nasal spray, nasal drops or dry powder.
- 59. A vaccine formulation comprising the vector of item 39.
- 60. A method of inducing a protective immunity to a viral infection in a subject comprising
administering to the subject the vaccine formulation of item 41.
- 61. The method of item 60, wherein the viral infection is a Norovirus infection.
- 62. The method of item 61, wherein said vaccine formulation confers protection from
one or more symptoms of Norovirus infection.
- 63. A method of making a virus-like particle comprising expressing the polypeptide
of item 29 in a host cell; growing the cell in conditions in which virus-like particles
are formed; and isolating the virus-like particles.
- 64. The method of item 63, wherein the non-enveloped virus is a Calicivirus.
- 65. The method of item 64, wherein said Calicivirus is a Norovirus or Sapovirus.
- 66. The method of item 65, wherein said Norovirus is a genogroup I or genogroup II
Norovirus.
- 67. The method of item 66, wherein the polypeptide has the amino acid sequence of
SEQ ID NO: 1.
- 68. The method of item 63, wherein the consensus sequence is SEQ ID NO: 2.
- 69. A method of making a virus-like particle comprising:
aligning amino acid sequences of capsid proteins from two or more circulating strains
of a non-enveloped virus;
determining a consensus sequence from said aligned amino acid sequences;
preparing a composite sequence based on said consensus sequence that contains at least
1 different amino acid as compared to each of the capsid sequences of said two or
more circulating strains; and
expressing said composite sequence in a host cell, thereby producing a virus-like
particle.
- 70. The method of item 69, wherein the non-enveloped virus is selected from the group
consisting of Calicivirus, Picornavirus, Astrovirus, Adenovirus, Reovirus, Polyomavirus,
Papillomavirus, Parvovirus, and Hepatitis E virus.
- 71. The method of item 70, wherein the non-enveloped virus is a Calicivirus.
- 72. The method of item 71, wherein the Calicivirus is a Norovirus or Sapovirus.
- 73. The method of item 72, wherein the Norovirus is a genogroup I or genogroup II
Norovirus.
